WILLIE P JACKSON - Respiratory Care Practitioner License in Illinois | # 194001851

WILLIE P JACKSON

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001851

License Status

NOT RENEWED

Business

N

First Name

WILLIE

Middle

P

Last Name

JACKSON

Business Name

WILLIE P JACKSON

Original Issue Date

03/31/1998

Effective Date

11/01/2007

Expiration Date

10/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

12/09/2009