ROBERT D FAIRCHILD Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005254

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

FAIRCHILD

Business Name

ROBERT D FAIRCHILD

Original Issue Date

11/21/2002

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005