BROOKE RENE BERG Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194011111

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

RENE

Last Name

BERG

Business Name

BROOKE RENE BERG

Original Issue Date

05/29/2019

Effective Date

10/28/2021

Expiration Date

10/31/2023

City

ROCKFORD

State

Zip

61103

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/28/2024