CARRIE LEIGH BLACK Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001273

License Status

INACTIVE

Business

First Name

CARRIE LEIGH

Last Name

BLACK

Business Name

CARRIE LEIGH BLACK

Original Issue Date

03/09/1998

Effective Date

11/02/1999

Expiration Date

10/30/1999

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

07/29/2005