ENRIQUE B CHAVEZ Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010369

License Status

NOT RENEWED

Business

First Name

ENRIQUE

Middle

Last Name

CHAVEZ

Business Name

ENRIQUE B CHAVEZ

Original Issue Date

09/13/2016

Effective Date

10/23/2017

Expiration Date

10/31/2019

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/23/2020