SUSAN MARIE MACK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004753

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIE

Last Name

MACK

Business Name

SUSAN MARIE MACK

Original Issue Date

07/31/2001

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2007