LUCILLE T GREEN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004558

License Status

NOT RENEWED

Business

First Name

LUCILLE

Middle

Last Name

GREEN

Business Name

LUCILLE T GREEN

Original Issue Date

11/20/2000

Effective Date

04/12/2005

Expiration Date

10/31/2005

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005