ALLAN THOMAS STASIAK - Respiratory Care Practitioner License in Illinois | # 194004694

ALLAN THOMAS STASIAK

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004694

License Status

NOT RENEWED

Business

N

First Name

ALLAN

Middle

THOMAS

Last Name

STASIAK

Business Name

ALLAN THOMAS STASIAK

Original Issue Date

04/09/2001

Effective Date

10/23/2015

Expiration Date

10/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

01/04/2018