SHAYNON DALLAS MARTIN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003510

License Status

NOT RENEWED

Business

First Name

SHAYNON

Middle

DALLAS

Last Name

MARTIN

Business Name

SHAYNON DALLAS MARTIN

Original Issue Date

03/22/1999

Effective Date

12/21/1999

Expiration Date

10/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2005