KIMBERLY M NEEDHAM Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005565

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

NEEDHAM

Business Name

KIMBERLY M NEEDHAM

Original Issue Date

01/27/2004

Effective Date

01/27/2004

Expiration Date

10/31/2005

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

12/22/2005