GERALD GORDON VAN BUREN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002662

License Status

NOT RENEWED

Business

First Name

GERALD GORDON

Last Name

VAN BUREN

Business Name

GERALD GORDON VAN BUREN

Original Issue Date

06/10/1998

Effective Date

10/23/2003

Expiration Date

10/31/2005

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

12/22/2005