BOAVENTURA MAZARELLO Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000159

License Status

NOT RENEWED

Business

First Name

BOAVENTURA

Last Name

MAZARELLO

Business Name

BOAVENTURA MAZARELLO

Original Issue Date

10/10/1997

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005