DOUGLAS RICHARD SANDBERG Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005364

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

RICHARD

Last Name

SANDBERG

Business Name

DOUGLAS RICHARD SANDBERG

Original Issue Date

05/13/2003

Effective Date

10/02/2017

Expiration Date

10/31/2019

City

ALGONQUIN

State

Zip

60102

County

COOK

Ever Disciplined

LastModifiedDate

01/23/2020