AMANDA MICHELLE DILLAVOU Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009383

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

MICHELLE

Last Name

DILLAVOU

Business Name

AMANDA MICHELLE DILLAVOU

Original Issue Date

08/20/2013

Effective Date

08/20/2013

Expiration Date

10/31/2015

City

CHENEY

State

Zip

99004

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

12/09/2015