NORMA ANN VAN DYKE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004020

License Status

NOT RENEWED

Business

First Name

NORMA

Middle

ANN

Last Name

VAN DYKE

Business Name

NORMA ANN VAN DYKE

Original Issue Date

01/28/2000

Effective Date

10/23/2017

Expiration Date

10/31/2019

City

PEORIA

State

Zip

61603

Ever Disciplined

LastModifiedDate

01/23/2020