ELEANOR ELGIN TAKAGISHI Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005839

License Status

NOT RENEWED

Business

First Name

ELEANOR

Middle

ELGIN

Last Name

TAKAGISHI

Business Name

ELEANOR ELGIN TAKAGISHI

Original Issue Date

12/30/2004

Effective Date

10/02/2009

Expiration Date

10/31/2011

City

CHICAGO

State

Zip

60642

Ever Disciplined

LastModifiedDate

12/07/2011