RAYMOND L RUSSELL Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009583

License Status

NOT RENEWED

Business

First Name

RAYMOND

Middle

Last Name

RUSSELL

Business Name

RAYMOND L RUSSELL

Original Issue Date

03/18/2014

Effective Date

03/18/2014

Expiration Date

10/31/2015

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

12/09/2015