CONNIE CLARIN GOLLOSO Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002639

License Status

INACTIVE

Business

First Name

CONNIE

Middle

CLARIN

Last Name

GOLLOSO

Business Name

CONNIE CLARIN GOLLOSO

Original Issue Date

06/09/1998

Effective Date

10/28/2009

Expiration Date

10/31/2011

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

08/03/2011