PRISCILLA JEAN PETERSON Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000934

License Status

INACTIVE

Business

First Name

PRISCILLA JEAN

Last Name

PETERSON

Business Name

PRISCILLA JEAN PETERSON

Original Issue Date

02/05/1998

Effective Date

09/26/2011

Expiration Date

10/31/2013

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

08/07/2013