PHYLLIS IRENE BIANCHI Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002988

License Status

INACTIVE

Business

First Name

PHYLLIS

Middle

IRENE

Last Name

BIANCHI

Business Name

PHYLLIS IRENE BIANCHI

Original Issue Date

08/26/1998

Effective Date

08/09/2017

Expiration Date

10/31/2019

City

GRANVILLE

State

Zip

61326

County

PUTNAM

Ever Disciplined

LastModifiedDate

08/03/2019