LORRAINE M CLARK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006656

License Status

NOT RENEWED

Business

First Name

LORRAINE

Middle

Last Name

CLARK

Business Name

LORRAINE M CLARK

Original Issue Date

05/09/2006

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

12/09/2009