ELAINE M NYSTROM Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003660

License Status

NOT RENEWED

Business

First Name

ELAINE M

Last Name

NYSTROM

Business Name

ELAINE M NYSTROM

Original Issue Date

08/18/1999

Effective Date

10/07/2013

Expiration Date

10/31/2015

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/09/2015