KAYLA M FASANO Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010279

License Status

ACTIVE

Business

First Name

KAYLA

Middle

Last Name

FASANO

Business Name

KAYLA M FASANO

Original Issue Date

07/19/2016

Effective Date

10/07/2025

Expiration Date

10/31/2027

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

10/07/2025