JACQUELINE MARIE DUSSAULT Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004425

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

MARIE

Last Name

DUSSAULT

Business Name

JACQUELINE MARIE DUSSAULT

Original Issue Date

07/27/2000

Effective Date

10/15/2003

Expiration Date

10/31/2005

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/09/2005