TIA DANETTE RANDOLPH Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004142

License Status

INACTIVE

Business

First Name

TIA

Middle

DANETTE

Last Name

RANDOLPH

Business Name

TIA DANETTE RANDOLPH

Original Issue Date

03/02/2000

Effective Date

10/03/2001

Expiration Date

10/31/2001

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005