DONNA LEE BROCKEN Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008602

License Status

INACTIVE

Business

First Name

DONNA

Middle

LEE

Last Name

BROCKEN

Business Name

DONNA LEE BROCKEN

Original Issue Date

07/20/2011

Effective Date

09/19/2011

Expiration Date

10/31/2013

City

SAINT LOUIS

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

08/07/2013