STACEY ANNE MAXWELL Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005476

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

ANNE

Last Name

MAXWELL

Business Name

STACEY ANNE MAXWELL

Original Issue Date

10/29/2003

Effective Date

10/09/2023

Expiration Date

10/31/2025

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/04/2026