THEOGENES FADERA CADIZ Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001456

License Status

NOT RENEWED

Business

First Name

THEOGENES FADERA

Last Name

CADIZ

Business Name

THEOGENES FADERA CADIZ

Original Issue Date

03/10/1998

Effective Date

10/25/2019

Expiration Date

02/28/2022

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022