GENNIFER ASHLEY MCCULLOUGH - Respiratory Care Practitioner License in Illinois | # 194008137

GENNIFER ASHLEY MCCULLOUGH

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008137

License Status

NOT RENEWED

Business

N

First Name

GENNIFER

Middle

ASHLEY

Last Name

MCCULLOUGH

Business Name

GENNIFER ASHLEY MCCULLOUGH

Original Issue Date

02/03/2010

Effective Date

02/03/2010

Expiration Date

10/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

12/07/2011