TRISHA BROOKE HAAG Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001191

License Status

INACTIVE

Business

First Name

TRISHA BROOKE

Last Name

HAAG

Business Name

TRISHA BROOKE HAAG

Original Issue Date

03/06/1998

Effective Date

11/19/2003

Expiration Date

10/31/2005

City

EMINGTON

State

Zip

60934

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

09/09/2005