BRIAN R SMITH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000507

License Status

NOT RENEWED

Business

First Name

BRIAN R

Last Name

SMITH

Business Name

BRIAN R SMITH

Original Issue Date

01/06/1998

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/05/2007