PORFIRIO DOMINQUEZ - Respiratory Care Practitioner License in Illinois | # 194003030

PORFIRIO DOMINQUEZ

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003030

License Status

NOT RENEWED

Business

N

First Name

PORFIRIO

Last Name

DOMINQUEZ

Business Name

PORFIRIO DOMINQUEZ

Original Issue Date

09/03/1998

Effective Date

09/12/2013

Expiration Date

10/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

12/09/2015