BENNIE M CLARK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003529

License Status

NOT RENEWED

Business

First Name

BENNIE

Middle

Last Name

CLARK

Business Name

BENNIE M CLARK

Original Issue Date

03/29/1999

Effective Date

11/05/2003

Expiration Date

10/31/2005

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005