EDWARD J GREEN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000128

License Status

NOT RENEWED

Business

First Name

EDWARD J

Last Name

GREEN

Business Name

EDWARD J GREEN

Original Issue Date

10/10/1997

Effective Date

08/09/2013

Expiration Date

10/31/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/09/2015