WENDELL E CORUM Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005666

License Status

INACTIVE

Business

First Name

WENDELL

Middle

Last Name

CORUM

Business Name

WENDELL E CORUM

Original Issue Date

06/07/2004

Effective Date

01/16/2008

Expiration Date

10/31/2009

City

PRESTONSBURG

State

Zip

41653

County

KENTUCKY

Ever Disciplined

LastModifiedDate

08/05/2009