MARISSA NICOLE STOUT Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008891

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

NICOLE

Last Name

STOUT

Business Name

MARISSA NICOLE STOUT

Original Issue Date

03/23/2012

Effective Date

03/23/2012

Expiration Date

10/31/2013

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

12/10/2013