EUGENE W BLACK SR Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003624

License Status

NOT RENEWED

Business

First Name

EUGENE

Middle

Last Name

BLACK

Suffix

Business Name

EUGENE W BLACK SR

Original Issue Date

06/23/1999

Effective Date

10/24/2017

Expiration Date

10/31/2019

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

01/23/2020