MARSHA JEAN WAGNER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004612

License Status

NOT RENEWED

Business

First Name

MARSHA

Middle

JEAN

Last Name

WAGNER

Business Name

MARSHA JEAN WAGNER

Original Issue Date

01/24/2001

Effective Date

09/29/2003

Expiration Date

10/31/2005

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

12/22/2005