DIANA BREVARD Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006573

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

BREVARD

Business Name

DIANA BREVARD

Original Issue Date

03/28/2006

Effective Date

10/17/2011

Expiration Date

10/31/2013

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

12/10/2013