DEVIN ROY TANNER - Respiratory Care Practitioner License in Illinois | # 194006042

DEVIN ROY TANNER

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006042

License Status

NOT RENEWED

Business

N

First Name

DEVIN

Middle

ROY

Last Name

TANNER

Business Name

DEVIN ROY TANNER

Original Issue Date

10/12/2005

Effective Date

10/12/2005

Expiration Date

10/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

12/05/2007