ETTA R MILLSAPP Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002369

License Status

NOT RENEWED

Business

First Name

ETTA

Middle

Last Name

MILLSAPP

Business Name

ETTA R MILLSAPP

Original Issue Date

05/20/1998

Effective Date

11/02/2011

Expiration Date

10/31/2013

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

12/10/2013