CAROL ANN TISKUS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005725

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

ANN

Last Name

TISKUS

Business Name

CAROL ANN TISKUS

Original Issue Date

08/18/2004

Effective Date

08/18/2004

Expiration Date

10/31/2005

City

BEACH PARK

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

12/22/2005