RUSTICA VISTAL MENDOZA Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001847

License Status

NOT RENEWED

Business

First Name

RUSTICA VISTAL

Last Name

MENDOZA

Business Name

RUSTICA VISTAL MENDOZA

Original Issue Date

03/31/1998

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005