CLARK W WALLS JR Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004397

License Status

ACTIVE

Business

First Name

CLARK

Middle

Last Name

WALLS

Suffix

Business Name

CLARK W WALLS JR

Original Issue Date

07/06/2000

Effective Date

10/20/2025

Expiration Date

10/31/2027

City

GARY

State

Zip

46404

Ever Disciplined

LastModifiedDate

10/20/2025