MICHAEL ALLAN HUMPHREY Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001609

License Status

NOT RENEWED

Business

First Name

MICHAEL ALLAN

Last Name

HUMPHREY

Business Name

MICHAEL ALLAN HUMPHREY

Original Issue Date

03/17/1998

Effective Date

04/06/2020

Expiration Date

09/30/2020

City

HOPEDALE

State

Zip

61747

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/14/2021