WILLIE LEE MOORE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008902

License Status

NOT RENEWED

Business

First Name

WILLIE

Middle

LEE

Last Name

MOORE

Business Name

WILLIE LEE MOORE

Original Issue Date

04/03/2012

Effective Date

08/19/2013

Expiration Date

10/31/2015

City

SAINT LOUIS

State

Zip

63132

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/09/2015