SHANNON TRAVIS MALMQUIST Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004923

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

TRAVIS

Last Name

MALMQUIST

Business Name

SHANNON TRAVIS MALMQUIST

Original Issue Date

12/10/2001

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005