TIA RAE MELOY Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006019

License Status

NOT RENEWED

Business

First Name

TIA

Middle

RAE

Last Name

MELOY

Business Name

TIA RAE MELOY

Original Issue Date

09/20/2005

Effective Date

09/20/2005

Expiration Date

10/31/2007

City

DE FOREST

State

Zip

53532

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/05/2007