KRISTA LANEE GILLIM Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010325

License Status

NOT RENEWED

Business

First Name

KRISTA

Middle

LANEE

Last Name

GILLIM

Business Name

KRISTA LANEE GILLIM

Original Issue Date

08/08/2016

Effective Date

11/01/2019

Expiration Date

02/28/2022

City

DALE

State

Zip

47523

County

INDIANA

Ever Disciplined

LastModifiedDate

07/27/2022