BRIAN SAMUEL DOUGLAS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003610

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

SAMUEL

Last Name

DOUGLAS

Business Name

BRIAN SAMUEL DOUGLAS

Original Issue Date

06/11/1999

Effective Date

09/04/2003

Expiration Date

10/31/2005

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2005