MARYLOU VALASEK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003058

License Status

NOT RENEWED

Business

First Name

MARYLOU

Last Name

VALASEK

Business Name

MARYLOU VALASEK

Original Issue Date

09/10/1998

Effective Date

09/26/2011

Expiration Date

10/31/2013

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/10/2013