ANGELIQUE A BLAKE-LOGAN Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194012451

License Status

ACTIVE

Business

First Name

ANGELIQUE

Middle

Last Name

BLAKE-LOGAN

Business Name

ANGELIQUE A BLAKE-LOGAN

Original Issue Date

09/28/2023

Effective Date

10/11/2025

Expiration Date

10/31/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/11/2025