DOUGLAS K LACEY - Respiratory Care Practitioner License in Illinois | # 194002250

DOUGLAS K LACEY

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002250

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS

Middle

K

Last Name

LACEY

Business Name

DOUGLAS K LACEY

Original Issue Date

05/08/1998

Effective Date

12/10/2003

Expiration Date

10/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005