SUZANNE P ANSTROM Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000768

License Status

NOT RENEWED

Business

First Name

SUZANNE P

Last Name

ANSTROM

Business Name

SUZANNE P ANSTROM

Original Issue Date

01/28/1998

Effective Date

11/12/2003

Expiration Date

10/31/2005

City

CHENOA

State

Zip

61726

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

12/22/2005