BENJAMIN T NISSEN Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010740

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

Last Name

NISSEN

Business Name

BENJAMIN T NISSEN

Original Issue Date

12/05/2017

Effective Date

10/30/2025

Expiration Date

10/31/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/30/2025