CHARLES JAY VANDERWARF Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004115

License Status

INACTIVE

Business

First Name

CHARLES

Middle

JAY

Last Name

VANDERWARF

Business Name

CHARLES JAY VANDERWARF

Original Issue Date

02/24/2000

Effective Date

10/29/2013

Expiration Date

10/31/2015

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

08/05/2015