LIS M DIAZ Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006096

License Status

NOT RENEWED

Business

First Name

LIS

Middle

Last Name

DIAZ

Business Name

LIS M DIAZ

Original Issue Date

11/08/2005

Effective Date

10/15/2015

Expiration Date

10/31/2017

City

MCCOOK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2018