JACQUELINE MARIE DUSSAULT - Respiratory Care Practitioner License in Illinois | # 194004425

JACQUELINE MARIE DUSSAULT

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004425

License Status

INACTIVE

Business

N

First Name

JACQUELINE

Middle

MARIE

Last Name

DUSSAULT

Business Name

JACQUELINE MARIE DUSSAULT

Original Issue Date

07/27/2000

Effective Date

10/15/2003

Expiration Date

10/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

09/09/2005