EDGAR MENEZ SUACILLO - Respiratory Care Practitioner License in Illinois | # 194001291

EDGAR MENEZ SUACILLO

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001291

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

12/07/2011