DOMINIC LAGUA CORPUZ Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002000

License Status

NOT RENEWED

Business

First Name

DOMINIC LAGUA

Last Name

CORPUZ

Business Name

DOMINIC LAGUA CORPUZ

Original Issue Date

04/06/1998

Effective Date

09/23/2003

Expiration Date

10/31/2005

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/22/2005