RUSSELL JOSEPH ANTOS - Respiratory Care Practitioner License in Wisconsin | # 194008216

RUSSELL JOSEPH ANTOS

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008216

License Status

NOT RENEWED

Business

N

First Name

RUSSELL

Middle

JOSEPH

Last Name

ANTOS

Business Name

RUSSELL JOSEPH ANTOS

Original Issue Date

04/26/2010

Effective Date

09/20/2019

Expiration Date

02/28/2022

State

WI

Ever Disciplined

N

LastModifiedDate

07/27/2022