AMANDA MARIE LACK Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008051

License Status

ACTIVE

Business

First Name

AMANDA

Middle

MARIE

Last Name

LACK

Business Name

AMANDA MARIE LACK

Original Issue Date

11/10/2009

Effective Date

10/02/2025

Expiration Date

10/31/2027

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/02/2025