PHILIP MATHEW POOTHAKALLIL Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008021

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

MATHEW

Last Name

POOTHAKALLIL

Business Name

PHILIP MATHEW POOTHAKALLIL

Original Issue Date

10/13/2009

Effective Date

08/28/2013

Expiration Date

10/31/2015

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2015