MARTIN LEE CLARK Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006342

License Status

ACTIVE

Business

First Name

MARTIN

Middle

LEE

Last Name

CLARK

Business Name

MARTIN LEE CLARK

Original Issue Date

01/13/2006

Effective Date

10/01/2025

Expiration Date

10/31/2027

City

CAMBRIDGE

State

Zip

61238

County

HENRY

Ever Disciplined

LastModifiedDate

10/01/2025