LOWELL TALAVERA DIZON Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005266

License Status

ACTIVE

Business

First Name

LOWELL

Middle

TALAVERA

Last Name

DIZON

Business Name

LOWELL TALAVERA DIZON

Original Issue Date

12/03/2002

Effective Date

09/25/2025

Expiration Date

10/31/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/25/2025