SUSAN MARIE NOVOTNY Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002836

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIE

Last Name

NOVOTNY

Business Name

SUSAN MARIE NOVOTNY

Original Issue Date

07/08/1998

Effective Date

09/26/2017

Expiration Date

10/31/2019

City

IMPERIAL

State

Zip

63052

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/23/2020