ADDIE BEATRICE RANDOLPH - Respiratory Care Practitioner License in Illinois | # 194002977

ADDIE BEATRICE RANDOLPH

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002977

License Status

NOT RENEWED

Business

N

First Name

ADDIE BEATRICE

Last Name

RANDOLPH

Business Name

ADDIE BEATRICE RANDOLPH

Original Issue Date

08/24/1998

Effective Date

10/12/2017

Expiration Date

10/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/23/2020