LAURITA LOUISE WALLACE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002866

License Status

NOT RENEWED

Business

First Name

LAURITA LOUISE

Last Name

WALLACE

Business Name

LAURITA LOUISE WALLACE

Original Issue Date

07/22/1998

Effective Date

02/04/2022

Expiration Date

10/31/2023

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/28/2024