HERMAN GLYNN WALLACE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005172

License Status

NOT RENEWED

Business

First Name

HERMAN

Middle

GLYNN

Last Name

WALLACE

Business Name

HERMAN GLYNN WALLACE

Original Issue Date

08/16/2002

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

BONNE TERRE

State

Zip

63628

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/11/2005