STACEY ROXANNE ROSE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194011048

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

ROXANNE

Last Name

ROSE

Business Name

STACEY ROXANNE ROSE

Original Issue Date

02/25/2019

Effective Date

02/25/2019

Expiration Date

10/31/2019

City

ST. PAUL

State

Zip

55105

Ever Disciplined

LastModifiedDate

01/23/2020