BRIAN LUNDBERG Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006000

License Status

NOT RENEWED

Business

First Name

BRIAN

Last Name

LUNDBERG

Business Name

BRIAN LUNDBERG

Original Issue Date

08/29/2005

Effective Date

11/01/2017

Expiration Date

10/31/2019

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/23/2020