KEITH VINCENT KULCZAK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003649

License Status

NOT RENEWED

Business

First Name

KEITH VINCENT

Last Name

KULCZAK

Business Name

KEITH VINCENT KULCZAK

Original Issue Date

08/04/1999

Effective Date

01/25/2024

Expiration Date

10/31/2025

City

PLAINFIED

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

02/04/2026