PAULETTE SANDRA JACKSON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001917

License Status

NOT RENEWED

Business

First Name

PAULETTE SANDRA

Last Name

JACKSON

Business Name

PAULETTE SANDRA JACKSON

Original Issue Date

03/31/1998

Effective Date

09/14/2009

Expiration Date

10/31/2011

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

12/07/2011