DAVE W WASZAK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005577

License Status

NOT RENEWED

Business

First Name

DAVE

Middle

Last Name

WASZAK

Business Name

DAVE W WASZAK

Original Issue Date

02/10/2004

Effective Date

10/22/2015

Expiration Date

10/31/2017

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

03/06/2019

Case Number

2015010376

Action

Revocation

Discipline Start Date

02/25/2019

Discipline Reason

conviction of Aggravated Battery.