BONIFACIO M FERNANDEZ Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006079

License Status

INACTIVE

Business

First Name

BONIFACIO

Middle

Last Name

FERNANDEZ

Business Name

BONIFACIO M FERNANDEZ

Original Issue Date

10/28/2005

Effective Date

09/06/2011

Expiration Date

10/31/2013

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/07/2013