DALLAS MICAH GONZALES - Respiratory Care Practitioner License in Illinois | # 194009760

DALLAS MICAH GONZALES

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009760

License Status

NOT RENEWED

Business

N

First Name

DALLAS

Middle

MICAH

Last Name

GONZALES

Business Name

DALLAS MICAH GONZALES

Original Issue Date

09/16/2014

Effective Date

10/22/2019

Expiration Date

02/28/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022