DOLLY EVA DOUGLAS - Respiratory Care Practitioner License in Illinois | # 194002695

DOLLY EVA DOUGLAS

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002695

License Status

NOT RENEWED

Business

N

First Name

DOLLY

Middle

EVA

Last Name

DOUGLAS

Business Name

DOLLY EVA DOUGLAS

Original Issue Date

06/17/1998

Effective Date

11/01/2007

Expiration Date

10/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

12/09/2009