THOMAS EDWARD LEWIS Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006662

License Status

INACTIVE

Business

First Name

THOMAS

Middle

EDWARD

Last Name

LEWIS

Business Name

THOMAS EDWARD LEWIS

Original Issue Date

05/12/2006

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

08/05/2009