LATASHA DENISE JACKSON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006896

License Status

NOT RENEWED

Business

First Name

LATASHA

Middle

DENISE

Last Name

JACKSON

Business Name

LATASHA DENISE JACKSON

Original Issue Date

11/03/2006

Effective Date

11/03/2006

Expiration Date

10/31/2007

City

BURNHAM

State

Zip

60633

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2007