SUSANNE SIMMONS MILLER Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004085

License Status

INACTIVE

Business

First Name

SUSANNE

Middle

SIMMONS

Last Name

MILLER

Business Name

SUSANNE SIMMONS MILLER

Original Issue Date

02/16/2000

Effective Date

11/18/2003

Expiration Date

10/31/2005

City

ADA

State

Zip

45810

County

HARDIN

Ever Disciplined

LastModifiedDate

09/09/2005