GREGORY SHAWN SACK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005110

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

SHAWN

Last Name

SACK

Business Name

GREGORY SHAWN SACK

Original Issue Date

05/22/2002

Effective Date

01/13/2022

Expiration Date

10/31/2023

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

03/28/2024