COLLEEN MARY MACEYAK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001111

License Status

NOT RENEWED

Business

First Name

COLLEEN MARY

Last Name

MACEYAK

Business Name

COLLEEN MARY MACEYAK

Original Issue Date

02/13/1998

Effective Date

10/03/2011

Expiration Date

10/31/2013

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

12/10/2013