SUSAN JO BALZRAINE Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000460

License Status

ACTIVE

Business

First Name

SUSAN JO

Last Name

BALZRAINE

Business Name

SUSAN JO BALZRAINE

Original Issue Date

01/02/1998

Effective Date

09/04/2025

Expiration Date

10/31/2027

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/04/2025