CHRISTIAN ADAM BLOHM Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001686

License Status

NOT RENEWED

Business

First Name

CHRISTIAN ADAM

Last Name

BLOHM

Business Name

CHRISTIAN ADAM BLOHM

Original Issue Date

03/20/1998

Effective Date

12/21/1999

Expiration Date

10/30/1999

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/29/2005