CHINNAWAT SHANE SUNGKAPAN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008569

License Status

NOT RENEWED

Business

First Name

CHINNAWAT

Middle

SHANE

Last Name

SUNGKAPAN

Business Name

CHINNAWAT SHANE SUNGKAPAN

Original Issue Date

05/25/2011

Effective Date

02/05/2022

Expiration Date

10/31/2023

City

NEW LENOX

State

Zip

60451

Ever Disciplined

LastModifiedDate

03/28/2024