JEFFERY E PIETRZAK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005258

License Status

NOT RENEWED

Business

First Name

JEFFERY

Middle

Last Name

PIETRZAK

Business Name

JEFFERY E PIETRZAK

Original Issue Date

11/25/2002

Effective Date

08/21/2019

Expiration Date

02/28/2022

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022