JENNIFER K FULLER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007297

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

FULLER

Business Name

JENNIFER K FULLER

Original Issue Date

10/31/2007

Effective Date

10/31/2007

Expiration Date

10/31/2009

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/09/2009