ADAM THEODORE BLASI - Respiratory Care Practitioner License in Wisconsin | # 194007900

ADAM THEODORE BLASI

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007900

License Status

NOT RENEWED

Business

N

First Name

ADAM

Middle

THEODORE

Last Name

BLASI

Business Name

ADAM THEODORE BLASI

Original Issue Date

07/30/2009

Effective Date

11/01/2017

Expiration Date

10/31/2019

State

WI

Ever Disciplined

N

LastModifiedDate

06/25/2025