WILLIE C WOMACK JR Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003498

License Status

NOT RENEWED

Business

First Name

WILLIE

Middle

Last Name

WOMACK

Suffix

Business Name

WILLIE C WOMACK JR

Original Issue Date

03/15/1999

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

GLENDALE

State

Zip

45246

County

OHIO

Ever Disciplined

LastModifiedDate

09/11/2005