CRYSTAL MOORE - Respiratory Care Practitioner License in Illinois | # 194002667

CRYSTAL MOORE

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002667

License Status

NOT RENEWED

Business

N

First Name

CRYSTAL

Last Name

MOORE

Business Name

CRYSTAL MOORE

Original Issue Date

06/11/1998

Effective Date

09/09/2005

Expiration Date

10/31/2007

State

IL

Ever Disciplined

Y

LastModifiedDate

05/25/2007

Case Number

2004007987

Action

Revocation

Discipline Start Date

05/25/2007

Discipline Reason

for submitting forged credentials to an employer.