TIMOTHY MICHAEL STEPHEN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008886

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

MICHAEL

Last Name

STEPHEN

Business Name

TIMOTHY MICHAEL STEPHEN

Original Issue Date

03/19/2012

Effective Date

08/12/2013

Expiration Date

10/31/2015

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/09/2015