JERRY PHILLIP LONG Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010055

License Status

ACTIVE

Business

First Name

JERRY

Middle

PHILLIP

Last Name

LONG

Business Name

JERRY PHILLIP LONG

Original Issue Date

09/25/2015

Effective Date

10/22/2025

Expiration Date

10/31/2027

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/22/2025