PORTIA GWEN ECKERT Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008388

License Status

NOT RENEWED

Business

First Name

PORTIA

Middle

GWEN

Last Name

ECKERT

Business Name

PORTIA GWEN ECKERT

Original Issue Date

09/08/2010

Effective Date

09/21/2011

Expiration Date

10/31/2013

City

AVON

State

Zip

46123

County

INDIANA

Ever Disciplined

LastModifiedDate

12/10/2013