RAVEN J MOORE Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194013131

License Status

ACTIVE

Business

First Name

RAVEN

Middle

Last Name

MOORE

Business Name

RAVEN J MOORE

Original Issue Date

08/11/2025

Effective Date

08/11/2025

Expiration Date

10/31/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/29/2025