POWLY O CHACKO Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000443

License Status

NOT RENEWED

Business

First Name

POWLY

Middle

Last Name

CHACKO

Business Name

POWLY O CHACKO

Original Issue Date

01/02/1998

Effective Date

09/30/2019

Expiration Date

02/28/2022

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022