MELANIE ANN LICKENBROCK - Respiratory Care Practitioner License in Illinois | # 194001772

MELANIE ANN LICKENBROCK

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001772

License Status

NOT RENEWED

Business

N

First Name

MELANIE ANN

Last Name

LICKENBROCK

Business Name

MELANIE ANN LICKENBROCK

Original Issue Date

03/25/1998

Effective Date

10/31/2019

Expiration Date

02/28/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022