NICOLE D WILLIS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005610

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

WILLIS

Business Name

NICOLE D WILLIS

Original Issue Date

03/04/2004

Effective Date

10/23/2017

Expiration Date

10/31/2019

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

01/23/2020