ANDREA M GRISWOLD Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002102

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

GRISWOLD

Business Name

ANDREA M GRISWOLD

Original Issue Date

04/15/1998

Effective Date

10/05/2023

Expiration Date

10/31/2025

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

02/04/2026