CRYSTAL MOORE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002667

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/25/2007

Case Number

2004007987

Action

Revocation

Discipline Start Date

05/25/2007

Discipline Reason

for submitting forged credentials to an employer.