TINA MALISSA SHOCKLEY Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008918

License Status

ACTIVE

Business

First Name

TINA

Middle

MALISSA

Last Name

SHOCKLEY

Business Name

TINA MALISSA SHOCKLEY

Original Issue Date

04/25/2012

Effective Date

10/17/2025

Expiration Date

10/31/2027

City

WEST PADUCAH

State

Zip

42086

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/17/2025