BRYAN PAUL GODTFREDSEN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007277

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

PAUL

Last Name

GODTFREDSEN

Business Name

BRYAN PAUL GODTFREDSEN

Original Issue Date

10/23/2007

Effective Date

08/10/2009

Expiration Date

10/31/2011

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/07/2011