CLARENCE J BULTHUIS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000702

License Status

NOT RENEWED

Business

First Name

CLARENCE J

Last Name

BULTHUIS

Business Name

CLARENCE J BULTHUIS

Original Issue Date

01/26/1998

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005