DIANE ELYSE RUSSELL Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004037

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

ELYSE

Last Name

RUSSELL

Business Name

DIANE ELYSE RUSSELL

Original Issue Date

01/31/2000

Effective Date

11/14/2003

Expiration Date

10/31/2005

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/22/2005