PAMELA ANN JACKSON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000662

License Status

NOT RENEWED

Business

First Name

PAMELA ANN

Last Name

JACKSON

Business Name

PAMELA ANN JACKSON

Original Issue Date

01/21/1998

Effective Date

08/13/2013

Expiration Date

10/31/2015

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/09/2015