ANQUINETTE SHEREE JACKSON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005028

License Status

NOT RENEWED

Business

First Name

ANQUINETTE

Middle

SHEREE

Last Name

JACKSON

Business Name

ANQUINETTE SHEREE JACKSON

Original Issue Date

03/11/2002

Effective Date

10/09/2003

Expiration Date

10/31/2005

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005