WAYNE JOSEPH KACOHA Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000585

License Status

NOT RENEWED

Business

First Name

WAYNE JOSEPH

Last Name

KACOHA

Business Name

WAYNE JOSEPH KACOHA

Original Issue Date

01/12/1998

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005