CAROLYN L JACKSON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004131

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

JACKSON

Business Name

CAROLYN L JACKSON

Original Issue Date

02/28/2000

Effective Date

08/31/2011

Expiration Date

10/31/2013

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

12/10/2013