JEFFREY MICHAEL BERTAGNOLI - Respiratory Care Practitioner License in Wisconsin | # 194003303

JEFFREY MICHAEL BERTAGNOLI

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003303

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

MICHAEL

Last Name

BERTAGNOLI

Business Name

JEFFREY MICHAEL BERTAGNOLI

Original Issue Date

11/02/1998

Effective Date

12/21/1999

Expiration Date

10/31/1999

State

WI

Ever Disciplined

N

LastModifiedDate

07/29/2005