LISA MARIE MOORE Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004973

License Status

INACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

MOORE

Business Name

LISA MARIE MOORE

Original Issue Date

01/29/2002

Effective Date

09/25/2003

Expiration Date

10/31/2005

City

ST. GENEVIEVE

State

Zip

63028

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/09/2005