EDWARD E ETHERTON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005709

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

ETHERTON

Business Name

EDWARD E ETHERTON

Original Issue Date

07/02/2004

Effective Date

10/19/2011

Expiration Date

10/31/2013

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

12/10/2013