CAROL JEAN CISNEROS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004261

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

JEAN

Last Name

CISNEROS

Business Name

CAROL JEAN CISNEROS

Original Issue Date

04/17/2000

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005