BRIAN C FOWLER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004547

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

FOWLER

Business Name

BRIAN C FOWLER

Original Issue Date

11/06/2000

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005