DONNA JANE DERSE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005434

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

JANE

Last Name

DERSE

Business Name

DONNA JANE DERSE

Original Issue Date

10/08/2003

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2009