DOMINIC LAGUA CORPUZ - Respiratory Care Practitioner License in Illinois | # 194002000

DOMINIC LAGUA CORPUZ

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002000

License Status

NOT RENEWED

Business

N

First Name

DOMINIC LAGUA

Last Name

CORPUZ

Business Name

DOMINIC LAGUA CORPUZ

Original Issue Date

04/06/1998

Effective Date

09/23/2003

Expiration Date

10/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

12/22/2005