JENNIE L FULTZ - Respiratory Care Practitioner License in Illinois | # 194008673

JENNIE L FULTZ

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008673

License Status

NOT RENEWED

Business

N

First Name

JENNIE

Middle

L

Last Name

FULTZ

Business Name

JENNIE L FULTZ

Original Issue Date

08/23/2011

Effective Date

08/04/2023

Expiration Date

10/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2026