TIMOTHY LEWIS MACHULA Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004396

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

LEWIS

Last Name

MACHULA

Business Name

TIMOTHY LEWIS MACHULA

Original Issue Date

07/05/2000

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005