TIFFANY NICOLE CLARK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009048

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

NICOLE

Last Name

CLARK

Business Name

TIFFANY NICOLE CLARK

Original Issue Date

08/22/2012

Effective Date

08/03/2017

Expiration Date

10/31/2019

City

KILLEEN

State

Zip

76542

County

TEXAS

Ever Disciplined

LastModifiedDate

01/23/2020