The holder whose full name is SAMPLE, CONNIE LYNN,come from Fort Wayne IN,hold the Respiratory Care Practitioner license(NO.30003913A) which status is Expired.
| Name | SAMPLE, CONNIE LYNN |
|---|---|
| License Number | 30003913A |
| License Type | Respiratory Care Practitioner |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |