LACIE CLARK - Respiratory Care Practitioner License in Illinois | # 194012765

LACIE CLARK

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194012765

License Status

NOT RENEWED

Business

N

First Name

LACIE

Last Name

CLARK

Business Name

LACIE CLARK

Original Issue Date

07/18/2024

Effective Date

07/18/2024

Expiration Date

10/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2026