JEANETTE E PACK Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006085

License Status

INACTIVE

Business

First Name

JEANETTE

Middle

Last Name

PACK

Business Name

JEANETTE E PACK

Original Issue Date

11/02/2005

Effective Date

10/13/2009

Expiration Date

10/31/2011

City

GLOUCESTER

State

Zip

23061

County

VIRGINIA

Ever Disciplined

LastModifiedDate

08/03/2011