JACOB T VAYALIL Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000862

License Status

ACTIVE

Business

First Name

JACOB T

Last Name

VAYALIL

Business Name

JACOB T VAYALIL

Original Issue Date

01/29/1998

Effective Date

10/02/2025

Expiration Date

10/31/2027

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/02/2025

Case Number

2016006749

Action

Suspension

Discipline Start Date

10/09/2016

Discipline End Date

10/30/2017

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/01/2017.