JONATHAN DOUGLAS BEACH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009189

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

DOUGLAS

Last Name

BEACH

Business Name

JONATHAN DOUGLAS BEACH

Original Issue Date

12/19/2012

Effective Date

08/07/2013

Expiration Date

10/31/2015

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

12/09/2015