TINA THEOBALD Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008973

License Status

NOT RENEWED

Business

First Name

TINA

Last Name

THEOBALD

Business Name

TINA THEOBALD

Original Issue Date

07/11/2012

Effective Date

08/12/2013

Expiration Date

10/31/2015

City

SAGINAW

State

Zip

48603

County

MICHIGAN

Ever Disciplined

LastModifiedDate

12/09/2015