MARY A ROSE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005720

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

ROSE

Business Name

MARY A ROSE

Original Issue Date

08/02/2004

Effective Date

09/29/2023

Expiration Date

10/31/2025

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/04/2026