TERRANCE ANTWON RUSSELL Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194012878

License Status

ACTIVE

Business

First Name

TERRANCE

Middle

ANTWON

Last Name

RUSSELL

Business Name

TERRANCE ANTWON RUSSELL

Original Issue Date

09/23/2024

Effective Date

09/22/2025

Expiration Date

10/31/2027

City

CHANNAHON

State

Zip

60410

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/22/2025