ERICA ELIZABETH BALZELL Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007214

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

ELIZABETH

Last Name

BALZELL

Business Name

ERICA ELIZABETH BALZELL

Original Issue Date

09/18/2007

Effective Date

10/30/2017

Expiration Date

10/31/2019

City

WEST PEORIA

State

Zip

61604

Ever Disciplined

LastModifiedDate

01/23/2020