EDGAR MENEZ SUACILLO Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001291

License Status

NOT RENEWED

Business

First Name

EDGAR MENEZ

Last Name

SUACILLO

Business Name

EDGAR MENEZ SUACILLO

Original Issue Date

03/09/1998

Effective Date

08/28/2009

Expiration Date

10/31/2011

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

12/07/2011