STACEY LYNN POWELL Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010808

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LYNN

Last Name

POWELL

Business Name

STACEY LYNN POWELL

Original Issue Date

04/05/2018

Effective Date

04/05/2018

Expiration Date

10/31/2019

City

HIGH RIDGE

State

Zip

63049

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/23/2020