PORFIRIO DOMINQUEZ Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003030

License Status

NOT RENEWED

Business

First Name

PORFIRIO

Last Name

DOMINQUEZ

Business Name

PORFIRIO DOMINQUEZ

Original Issue Date

09/03/1998

Effective Date

09/12/2013

Expiration Date

10/31/2015

City

HANOVER PARK

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2015