LILLIE FORTE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000795

License Status

NOT RENEWED

Business

First Name

LILLIE

Last Name

FORTE

Business Name

LILLIE FORTE

Original Issue Date

01/28/1998

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2007