JENNIFER ANNE URBACH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002665

License Status

NOT RENEWED

Business

First Name

JENNIFER ANNE

Last Name

URBACH

Business Name

JENNIFER ANNE URBACH

Original Issue Date

06/11/1998

Effective Date

12/21/1999

Expiration Date

10/30/1999

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/29/2005