PHILLIP RAY ERTHALL JR - Respiratory Care Practitioner License in Illinois | # 194002747

PHILLIP RAY ERTHALL JR

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002747

License Status

NOT RENEWED

Business

N

First Name

PHILLIP

Middle

RAY

Last Name

ERTHALL

Suffix

JR

Business Name

PHILLIP RAY ERTHALL JR

Original Issue Date

06/25/1998

Effective Date

12/10/2003

Expiration Date

10/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

02/21/2017