MAYLORD PAGDANGANAN GONZALEZ Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194011653

License Status

NOT RENEWED

Business

First Name

MAYLORD

Middle

PAGDANGANAN

Last Name

GONZALEZ

Business Name

MAYLORD PAGDANGANAN GONZALEZ

Original Issue Date

03/13/2021

Effective Date

01/28/2022

Expiration Date

10/31/2023

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Ever Disciplined

LastModifiedDate

03/28/2024