SIMON CHAKKALAPADAVIZ - Respiratory Care Practitioner License in Illinois | # 194000303

SIMON CHAKKALAPADAVIZ

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000303

License Status

INACTIVE

Business

N

First Name

SIMON

Last Name

CHAKKALAPADAVIZ

Business Name

SIMON CHAKKALAPADAVIZ

Original Issue Date

11/19/1997

Effective Date

11/01/2005

Expiration Date

10/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

08/07/2007