TIMOTHY DOUGLAS WILLEFORD Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001545

License Status

NOT RENEWED

Business

First Name

TIMOTHY DOUGLAS

Last Name

WILLEFORD

Business Name

TIMOTHY DOUGLAS WILLEFORD

Original Issue Date

03/13/1998

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

NILWOOD

State

Zip

62672

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/05/2007