NICOLE SUZANNE CLEVELAND Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004914

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

SUZANNE

Last Name

CLEVELAND

Business Name

NICOLE SUZANNE CLEVELAND

Original Issue Date

12/03/2001

Effective Date

10/14/2003

Expiration Date

10/31/2005

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/22/2005