STACIE L CORNWELL Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003334

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

CORNWELL

Business Name

STACIE L CORNWELL

Original Issue Date

11/13/1998

Effective Date

07/30/2003

Expiration Date

10/31/2003

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

08/04/2005

Case Number

1999008719

Action

Suspension

Discipline Start Date

07/25/2003

Discipline Reason

Falsified a prescription for a controlled substance at her place of employment.