CLAYTON KENNETH HENDERSON Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002904

License Status

INACTIVE

Business

First Name

CLAYTON

Middle

KENNETH

Last Name

HENDERSON

Business Name

CLAYTON KENNETH HENDERSON

Original Issue Date

08/07/1998

Effective Date

10/10/2017

Expiration Date

10/31/2019

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/03/2019