VIVA J SIDDALL Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000104

License Status

INACTIVE

Business

First Name

VIVA J

Last Name

SIDDALL

Business Name

VIVA J SIDDALL

Original Issue Date

10/10/1997

Effective Date

09/22/2015

Expiration Date

10/31/2017

City

LODA

State

Zip

60948

County

IROQUOIS

Ever Disciplined

LastModifiedDate

08/03/2017