MATTHEW ALLEN ROTH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008480

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ALLEN

Last Name

ROTH

Business Name

MATTHEW ALLEN ROTH

Original Issue Date

12/20/2010

Effective Date

08/28/2013

Expiration Date

10/31/2015

City

PLAINFIELD

State

Zip

46168

County

INDIANA

Ever Disciplined

LastModifiedDate

12/09/2015