ALPHONSAMMA KODUVATHRA Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001630

License Status

NOT RENEWED

Business

First Name

ALPHONSAMMA

Last Name

KODUVATHRA

Business Name

ALPHONSAMMA KODUVATHRA

Original Issue Date

03/18/1998

Effective Date

12/30/2021

Expiration Date

10/31/2023

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

03/28/2024