TIA DANETTE RANDOLPH - Respiratory Care Practitioner License in Illinois | # 194004142

TIA DANETTE RANDOLPH

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004142

License Status

INACTIVE

Business

N

First Name

TIA

Middle

DANETTE

Last Name

RANDOLPH

Business Name

TIA DANETTE RANDOLPH

Original Issue Date

03/02/2000

Effective Date

10/03/2001

Expiration Date

10/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005