PHYLLIS STEWART BRANCH - Respiratory Care Practitioner License in Illinois | # 194004623

PHYLLIS STEWART BRANCH

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004623

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS

Middle

STEWART

Last Name

BRANCH

Business Name

PHYLLIS STEWART BRANCH

Original Issue Date

02/05/2001

Effective Date

08/05/2015

Expiration Date

10/31/2017

State

IL

Ever Disciplined

Y

LastModifiedDate

01/04/2018