PHYLLIS FLORENE RUSSELL Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005757

License Status

ACTIVE

Business

First Name

PHYLLIS

Middle

FLORENE

Last Name

RUSSELL

Business Name

PHYLLIS FLORENE RUSSELL

Original Issue Date

09/24/2004

Effective Date

09/03/2025

Expiration Date

10/31/2027

City

GURNEE

State

Zip

60031

Ever Disciplined

LastModifiedDate

09/03/2025