PERCILITA DAVINE SMITH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001661

License Status

NOT RENEWED

Business

First Name

PERCILITA DAVINE

Last Name

SMITH

Business Name

PERCILITA DAVINE SMITH

Original Issue Date

03/19/1998

Effective Date

02/23/2022

Expiration Date

10/31/2023

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2024