THOMAS J PETERSON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003717

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

PETERSON

Business Name

THOMAS J PETERSON

Original Issue Date

10/12/1999

Effective Date

10/18/2019

Expiration Date

02/28/2022

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022