MARY JANE WASHBURN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003440

License Status

NOT RENEWED

Business

First Name

MARY

Middle

JANE

Last Name

WASHBURN

Business Name

MARY JANE WASHBURN

Original Issue Date

01/20/1999

Effective Date

09/24/2003

Expiration Date

10/31/2005

City

VERONA

State

Zip

53593

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/22/2005