KENNETH JOHN SCRIVANO Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003036

License Status

INACTIVE

Business

First Name

KENNETH

Middle

JOHN

Last Name

SCRIVANO

Business Name

KENNETH JOHN SCRIVANO

Original Issue Date

09/04/1998

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/05/2009