THOMAS GEORGE POOVATHUR - Respiratory Care Practitioner License in Illinois | # 194007105

THOMAS GEORGE POOVATHUR

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007105

License Status

NOT RENEWED

Business

N

First Name

THOMAS

Middle

GEORGE

Last Name

POOVATHUR

Business Name

THOMAS GEORGE POOVATHUR

Original Issue Date

06/14/2007

Effective Date

09/05/2008

Expiration Date

10/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

12/09/2009