KEENA SHARLEEN MITCHELL WISE - Respiratory Care Practitioner License in Illinois | # 194009561

KEENA SHARLEEN MITCHELL WISE

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009561

License Status

NOT RENEWED

Business

N

First Name

KEENA

Middle

SHARLEEN

Last Name

MITCHELL WISE

Business Name

KEENA SHARLEEN MITCHELL WISE

Original Issue Date

02/06/2014

Effective Date

10/26/2015

Expiration Date

10/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

01/04/2018