TOM W BORK Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003918

License Status

ACTIVE

Business

First Name

TOM

Middle

Last Name

BORK

Business Name

TOM W BORK

Original Issue Date

12/20/1999

Effective Date

10/23/2025

Expiration Date

10/31/2027

City

HAMPSHIRE

State

Zip

60140

Ever Disciplined

LastModifiedDate

10/23/2025