MARK EDWARD CLEMENTS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001733

License Status

NOT RENEWED

Business

First Name

MARK EDWARD

Last Name

CLEMENTS

Business Name

MARK EDWARD CLEMENTS

Original Issue Date

03/24/1998

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005