THRESIAMMA T MANTHURUTHIL Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001767

License Status

INACTIVE

Business

First Name

THRESIAMMA

Middle

Last Name

MANTHURUTHIL

Business Name

THRESIAMMA T MANTHURUTHIL

Original Issue Date

03/25/1998

Effective Date

09/18/2017

Expiration Date

10/31/2019

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

08/03/2019