BROCK D BUGAIESKI Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194011345

License Status

ACTIVE

Business

First Name

BROCK

Middle

Last Name

BUGAIESKI

Business Name

BROCK D BUGAIESKI

Original Issue Date

01/17/2020

Effective Date

10/20/2025

Expiration Date

10/31/2027

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2025