MARK A PERRY Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005795

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

PERRY

Business Name

MARK A PERRY

Original Issue Date

11/08/2004

Effective Date

11/02/2015

Expiration Date

10/31/2017

City

DODGEVILLE

State

Zip

53533

County

WISCONSIN

Ever Disciplined

LastModifiedDate

08/03/2017