ROSE ELLEN LARRY Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002314

License Status

NOT RENEWED

Business

First Name

ROSE ELLEN

Last Name

LARRY

Business Name

ROSE ELLEN LARRY

Original Issue Date

05/13/1998

Effective Date

05/26/2004

Expiration Date

10/31/2005

City

JACKSON

State

Zip

39206

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

12/22/2005