DOUGLAS SCOTT LARSON - Respiratory Care Practitioner License in Illinois | # 194004306

DOUGLAS SCOTT LARSON

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004306

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS

Middle

SCOTT

Last Name

LARSON

Business Name

DOUGLAS SCOTT LARSON

Original Issue Date

05/12/2000

Effective Date

10/31/2019

Expiration Date

02/28/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022