GAIL M GOFRON LATTYAK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003593

License Status

NOT RENEWED

Business

First Name

GAIL

Middle

Last Name

GOFRON LATTYAK

Business Name

GAIL M GOFRON LATTYAK

Original Issue Date

05/17/1999

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

PALOS HILLS

State

Zip

60465

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005