THERESA ANN BLAKE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003633

License Status

NOT RENEWED

Business

First Name

THERESA ANN

Last Name

BLAKE

Business Name

THERESA ANN BLAKE

Original Issue Date

07/16/1999

Effective Date

08/30/2011

Expiration Date

10/31/2013

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

12/10/2013