MARY A BLANTON - Respiratory Care Practitioner License in Illinois | # 194001251

MARY A BLANTON

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001251

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

A

Last Name

BLANTON

Business Name

MARY A BLANTON

Original Issue Date

03/09/1998

Effective Date

12/03/2001

Expiration Date

10/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005