MICHAEL L INGRUM Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002797

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

INGRUM

Business Name

MICHAEL L INGRUM

Original Issue Date

07/01/1998

Effective Date

10/10/2013

Expiration Date

10/31/2015

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/09/2015