LATASHA DENISE JACKSON - Respiratory Care Practitioner License in Illinois | # 194006896

LATASHA DENISE JACKSON

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006896

License Status

NOT RENEWED

Business

N

First Name

LATASHA

Middle

DENISE

Last Name

JACKSON

Business Name

LATASHA DENISE JACKSON

Original Issue Date

11/03/2006

Effective Date

11/03/2006

Expiration Date

10/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

12/05/2007