CARRI A GUNDLACH Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003771

License Status

INACTIVE

Business

First Name

CARRI

Middle

Last Name

GUNDLACH

Business Name

CARRI A GUNDLACH

Original Issue Date

11/08/1999

Effective Date

09/29/2003

Expiration Date

10/31/2003

City

DELAVAN

State

Zip

53115

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/11/2005