ANGELA GRAY Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000759

License Status

INACTIVE

Business

First Name

ANGELA

Last Name

GRAY

Business Name

ANGELA GRAY

BusinessDBA

SHANK

Original Issue Date

01/28/1998

Effective Date

10/31/2011

Expiration Date

10/31/2013

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/07/2013