GENA MARIE WAGNER - Respiratory Care Practitioner License in Illinois | # 194001793

GENA MARIE WAGNER

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001793

License Status

INACTIVE

Business

N

First Name

GENA MARIE

Last Name

WAGNER

Business Name

GENA MARIE WAGNER

Original Issue Date

03/27/1998

Effective Date

10/10/2003

Expiration Date

10/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005