ROGER K ERICSON Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005104

License Status

INACTIVE

Business

First Name

ROGER

Middle

Last Name

ERICSON

Business Name

ROGER K ERICSON

Original Issue Date

05/16/2002

Effective Date

10/03/2017

Expiration Date

10/31/2019

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/03/2019