GENA MARIE WAGNER Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001793

License Status

INACTIVE

Business

First Name

GENA MARIE

Last Name

WAGNER

Business Name

GENA MARIE WAGNER

Original Issue Date

03/27/1998

Effective Date

10/10/2003

Expiration Date

10/31/2003

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005