MARTY K LARSON Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001002

License Status

ACTIVE

Business

First Name

MARTY K

Last Name

LARSON

Business Name

MARTY K LARSON

Original Issue Date

02/10/1998

Effective Date

08/13/2025

Expiration Date

10/31/2027

City

CEDAR LAKE

State

Zip

46303

Ever Disciplined

LastModifiedDate

08/13/2025