MARI C BLACK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002388

License Status

NOT RENEWED

Business

First Name

MARI

Middle

Last Name

BLACK

Business Name

MARI C BLACK

Original Issue Date

05/20/1998

Effective Date

10/02/2013

Expiration Date

10/31/2015

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2015