SHANNON M WALDEN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008727

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

Last Name

WALDEN

Business Name

SHANNON M WALDEN

Original Issue Date

10/05/2011

Effective Date

11/01/2019

Expiration Date

02/28/2022

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

07/27/2022