DOUGLASS LEE WITZIG Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004453

License Status

NOT RENEWED

Business

First Name

DOUGLASS

Middle

LEE

Last Name

WITZIG

Business Name

DOUGLASS LEE WITZIG

Original Issue Date

08/16/2000

Effective Date

11/03/2003

Expiration Date

10/31/2005

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

12/22/2005