ALLAN THOMAS STASIAK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004694

License Status

NOT RENEWED

Business

First Name

ALLAN

Middle

THOMAS

Last Name

STASIAK

Business Name

ALLAN THOMAS STASIAK

Original Issue Date

04/09/2001

Effective Date

10/23/2015

Expiration Date

10/31/2017

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

01/04/2018