CRYSTAL MARIE GOODALL - Respiratory Care Practitioner License in Illinois | # 194005888

CRYSTAL MARIE GOODALL

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005888

License Status

NOT RENEWED

Business

N

First Name

CRYSTAL

Middle

MARIE

Last Name

GOODALL

Business Name

CRYSTAL MARIE GOODALL

Original Issue Date

03/09/2005

Effective Date

08/05/2009

Expiration Date

10/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

12/07/2011