MARY LEVIS LACKEY - Respiratory Care Practitioner License in Illinois | # 194005168

MARY LEVIS LACKEY

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005168

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

LEVIS

Last Name

LACKEY

Business Name

MARY LEVIS LACKEY

Original Issue Date

08/14/2002

Effective Date

09/26/2019

Expiration Date

02/28/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022