JACQUELINE CHANTALLE FISCUS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009412

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

CHANTALLE

Last Name

FISCUS

Business Name

JACQUELINE CHANTALLE FISCUS

Original Issue Date

09/09/2013

Effective Date

09/09/2013

Expiration Date

10/31/2015

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2015