MALLORIE KRISTEN LEWIS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010188

License Status

NOT RENEWED

Business

First Name

MALLORIE

Middle

KRISTEN

Last Name

LEWIS

Business Name

MALLORIE KRISTEN LEWIS

Original Issue Date

03/17/2016

Effective Date

03/17/2016

Expiration Date

10/31/2017

City

MAYFIELD

State

Zip

42066

County

KENTUCKY

Ever Disciplined

LastModifiedDate

01/04/2018