DAWN MARIE CLARK Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003597

License Status

INACTIVE

Business

First Name

DAWN

Middle

MARIE

Last Name

CLARK

Business Name

DAWN MARIE CLARK

Original Issue Date

05/20/1999

Effective Date

10/28/2019

Expiration Date

10/31/2021

City

HANNIBAL

State

Zip

63401

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/28/2019