MARY KAY LAVICKA Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000672

License Status

NOT RENEWED

Business

First Name

MARY KAY

Last Name

LAVICKA

Business Name

MARY KAY LAVICKA

Original Issue Date

01/21/1998

Effective Date

11/02/2017

Expiration Date

10/31/2019

City

ASHKUM

State

Zip

60911

County

IROQUOIS

Ever Disciplined

LastModifiedDate

01/23/2020