JOHN IVAN GAVRILOV Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007493

License Status

INACTIVE

Business

First Name

JOHN

Middle

IVAN

Last Name

GAVRILOV

Business Name

JOHN IVAN GAVRILOV

Original Issue Date

06/13/2008

Effective Date

09/14/2020

Expiration Date

10/31/2021

City

MONROE

State

Zip

28110

Ever Disciplined

LastModifiedDate

09/14/2020