MARY ALICE BASKIN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003639

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ALICE

Last Name

BASKIN

Business Name

MARY ALICE BASKIN

Original Issue Date

07/21/1999

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005