WILLIE P JACKSON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001851

License Status

NOT RENEWED

Business

First Name

WILLIE

Middle

Last Name

JACKSON

Business Name

WILLIE P JACKSON

Original Issue Date

03/31/1998

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

12/09/2009