ELDA MARIE FULTON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003240

License Status

NOT RENEWED

Business

First Name

ELDA

Middle

MARIE

Last Name

FULTON

Business Name

ELDA MARIE FULTON

Original Issue Date

10/07/1998

Effective Date

08/03/2017

Expiration Date

10/31/2019

City

TRIVOLI

State

Zip

61569

County

PEORIA

Ever Disciplined

LastModifiedDate

01/23/2020