TIBU MATHEW VELLAPPALLY Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005248

License Status

NOT RENEWED

Business

First Name

TIBU

Middle

MATHEW

Last Name

VELLAPPALLY

Business Name

TIBU MATHEW VELLAPPALLY

Original Issue Date

11/14/2002

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2007