KRISTINE LYNN GUSTAFSON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004991

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

LYNN

Last Name

GUSTAFSON

Business Name

KRISTINE LYNN GUSTAFSON

Original Issue Date

02/06/2002

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/11/2005