MARY ELIZABETH WASILEVICH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003436

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELIZABETH

Last Name

WASILEVICH

Business Name

MARY ELIZABETH WASILEVICH

Original Issue Date

01/15/1999

Effective Date

09/23/2003

Expiration Date

10/31/2005

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

12/22/2005