FREDERICK D LEWIS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002357

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

Last Name

LEWIS

Business Name

FREDERICK D LEWIS

Original Issue Date

05/20/1998

Effective Date

10/15/2013

Expiration Date

10/31/2015

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

12/09/2015