GAYLE RENEE SUPRIANO Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002603

License Status

NOT RENEWED

Business

First Name

GAYLE RENEE

Last Name

SUPRIANO

Business Name

GAYLE RENEE SUPRIANO

Original Issue Date

06/04/1998

Effective Date

10/18/2019

Expiration Date

02/28/2022

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2022