CLAUDIA MARIE BLAKE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000246

License Status

NOT RENEWED

Business

First Name

CLAUDIA MARIE

Last Name

BLAKE

Business Name

CLAUDIA MARIE BLAKE

Original Issue Date

10/31/1997

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/11/2005