MARCIA MARIE JACK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005583

License Status

NOT RENEWED

Business

First Name

MARCIA

Middle

MARIE

Last Name

JACK

Business Name

MARCIA MARIE JACK

Original Issue Date

02/11/2004

Effective Date

02/11/2004

Expiration Date

10/31/2005

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

12/22/2005