DOUGLAS SCOTT LARSON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004306

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

SCOTT

Last Name

LARSON

Business Name

DOUGLAS SCOTT LARSON

Original Issue Date

05/12/2000

Effective Date

10/31/2019

Expiration Date

02/28/2022

City

COAL CITY

State

Zip

60416

County

GRUNDY

Ever Disciplined

LastModifiedDate

07/27/2022