BOAVENTURA MAZARELLO - Respiratory Care Practitioner License in Illinois | # 194000159

BOAVENTURA MAZARELLO

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000159

License Status

NOT RENEWED

Business

N

First Name

BOAVENTURA

Last Name

MAZARELLO

Business Name

BOAVENTURA MAZARELLO

Original Issue Date

10/10/1997

Effective Date

12/10/2003

Expiration Date

10/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005