TRACY ANN LATHRAM Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005558

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

ANN

Last Name

LATHRAM

Business Name

TRACY ANN LATHRAM

Original Issue Date

01/12/2004

Effective Date

01/12/2004

Expiration Date

10/31/2005

City

BENTON

State

Zip

42025

County

KENTUCKY

Ever Disciplined

LastModifiedDate

12/22/2005