EDWARD CLARK WALES Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003958

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

CLARK

Last Name

WALES

Business Name

EDWARD CLARK WALES

Original Issue Date

12/30/1999

Effective Date

09/12/2023

Expiration Date

10/31/2025

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

02/04/2026