EDGARDO BERNAL MALLARI - Respiratory Care Practitioner License in Illinois | # 194003623

EDGARDO BERNAL MALLARI

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003623

License Status

NOT RENEWED

Business

N

First Name

EDGARDO

Middle

BERNAL

Last Name

MALLARI

Business Name

EDGARDO BERNAL MALLARI

Original Issue Date

06/23/1999

Effective Date

12/10/2003

Expiration Date

10/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005