WAYNE A JORGENSEN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003826

License Status

NOT RENEWED

Business

First Name

WAYNE

Middle

Last Name

JORGENSEN

Business Name

WAYNE A JORGENSEN

Original Issue Date

11/22/1999

Effective Date

10/08/2003

Expiration Date

10/31/2005

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

12/22/2005