RUSSELL EDWARD JOHNSON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010536

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

EDWARD

Last Name

JOHNSON

Business Name

RUSSELL EDWARD JOHNSON

Original Issue Date

07/10/2017

Effective Date

01/04/2021

Expiration Date

05/31/2021

City

FORT WAYNE

State

Zip

46845

Ever Disciplined

LastModifiedDate

07/27/2022