IDA JANE POTTER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009806

License Status

NOT RENEWED

Business

First Name

IDA

Middle

JANE

Last Name

POTTER

Business Name

IDA JANE POTTER

Original Issue Date

10/29/2014

Effective Date

11/02/2021

Expiration Date

10/31/2023

City

TERRE HAUTE

State

Zip

47804

County

INDIANA

Ever Disciplined

LastModifiedDate

03/28/2024