CARRIE LEIGH BLACK - Respiratory Care Practitioner License in Illinois | # 194001273

CARRIE LEIGH BLACK

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001273

License Status

INACTIVE

Business

N

First Name

CARRIE LEIGH

Last Name

BLACK

Business Name

CARRIE LEIGH BLACK

Original Issue Date

03/09/1998

Effective Date

11/02/1999

Expiration Date

10/30/1999

State

IL

Ever Disciplined

N

LastModifiedDate

07/29/2005