GENE ALAN GOLDBERG Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000600

License Status

INACTIVE

Business

First Name

GENE ALAN

Last Name

GOLDBERG

Business Name

GENE ALAN GOLDBERG

Original Issue Date

01/13/1998

Effective Date

09/16/2011

Expiration Date

10/31/2013

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

08/07/2013