MICHELE ELAINE SAMPLE - Respiratory Care Practitioner License in Illinois | # 194004672

MICHELE ELAINE SAMPLE

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004672

License Status

NOT RENEWED

Business

N

First Name

MICHELE

Middle

ELAINE

Last Name

SAMPLE

Business Name

MICHELE ELAINE SAMPLE

Original Issue Date

03/26/2001

Effective Date

11/03/2003

Expiration Date

10/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

12/22/2005