MAMERTO MEDINA MIRANDA JR Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002615

License Status

NOT RENEWED

Business

First Name

MAMERTO

Middle

MEDINA

Last Name

MIRANDA

Suffix

Business Name

MAMERTO MEDINA MIRANDA JR

Original Issue Date

06/05/1998

Effective Date

10/22/2015

Expiration Date

10/31/2017

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2018