SERGE M FONTAINE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002169

License Status

NOT RENEWED

Business

First Name

SERGE

Middle

Last Name

FONTAINE

Business Name

SERGE M FONTAINE

Original Issue Date

04/28/1998

Effective Date

09/03/2013

Expiration Date

10/31/2015

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2015