TRACI L BOSCH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000762

License Status

NOT RENEWED

Business

First Name

TRACI L

Last Name

BOSCH

Business Name

TRACI L BOSCH

Original Issue Date

01/28/1998

Effective Date

09/16/2015

Expiration Date

10/31/2017

City

BROADLANDS

State

Zip

61816

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/04/2018