DEREK LEE SMITH Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194012606

License Status

ACTIVE

Business

First Name

DEREK

Middle

LEE

Last Name

SMITH

Business Name

DEREK LEE SMITH

Original Issue Date

12/11/2023

Effective Date

10/20/2025

Expiration Date

10/31/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2025