EUGENE W BLACK SR - Respiratory Care Practitioner License in Illinois | # 194003624

EUGENE W BLACK SR

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003624

License Status

NOT RENEWED

Business

N

First Name

EUGENE

Middle

W

Last Name

BLACK

Suffix

SR

Business Name

EUGENE W BLACK SR

Original Issue Date

06/23/1999

Effective Date

10/24/2017

Expiration Date

10/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

01/23/2020