POWLY O CHACKO - Respiratory Care Practitioner License in Illinois | # 194000443

POWLY O CHACKO

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000443

License Status

NOT RENEWED

Business

N

First Name

POWLY

Middle

O

Last Name

CHACKO

Business Name

POWLY O CHACKO

Original Issue Date

01/02/1998

Effective Date

09/30/2019

Expiration Date

02/28/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022