CHARLENE E DOCK-BASSO Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003646

License Status

NOT RENEWED

Business

First Name

CHARLENE

Middle

Last Name

DOCK-BASSO

Business Name

CHARLENE E DOCK-BASSO

Original Issue Date

07/28/1999

Effective Date

10/10/2017

Expiration Date

10/31/2019

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

01/23/2020