LUCILLE M GARDNER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003080

License Status

NOT RENEWED

Business

First Name

LUCILLE

Middle

Last Name

GARDNER

Business Name

LUCILLE M GARDNER

Original Issue Date

09/16/1998

Effective Date

10/14/2009

Expiration Date

10/31/2011

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

12/07/2011