DALLAS MICAH GONZALES Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009760

License Status

NOT RENEWED

Business

First Name

DALLAS

Middle

MICAH

Last Name

GONZALES

Business Name

DALLAS MICAH GONZALES

Original Issue Date

09/16/2014

Effective Date

10/22/2019

Expiration Date

02/28/2022

City

HOMEWOOD

State

Zip

60430

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022