BRIAN J CAVANAUGH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010673

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

CAVANAUGH

Business Name

BRIAN J CAVANAUGH

Original Issue Date

10/05/2017

Effective Date

10/03/2019

Expiration Date

02/28/2022

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022