JENNIFER LEANN PHAM Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194011004

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

LEANN

Last Name

PHAM

Business Name

JENNIFER LEANN PHAM

Original Issue Date

12/13/2018

Effective Date

10/22/2025

Expiration Date

10/31/2027

City

NORMAL

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/22/2025