THEODORE M BLOCH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001265

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

BLOCH

Business Name

THEODORE M BLOCH

Original Issue Date

03/09/1998

Effective Date

10/18/2019

Expiration Date

02/28/2022

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022