STACEY MARIE VERA Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006212

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

MARIE

Last Name

VERA

Business Name

STACEY MARIE VERA

Original Issue Date

12/22/2005

Effective Date

12/15/2011

Expiration Date

10/31/2013

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

12/10/2013