TEDDY LEWIS BASS III Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010433

License Status

ACTIVE

Business

First Name

TEDDY

Middle

LEWIS

Last Name

BASS

Suffix

III

Business Name

TEDDY LEWIS BASS III

Original Issue Date

12/01/2016

Effective Date

10/30/2025

Expiration Date

10/31/2027

City

MAYFIELD

State

Zip

42066

Ever Disciplined

LastModifiedDate

10/30/2025