BRENDA L WIEGERT Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003216

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

Last Name

WIEGERT

Business Name

BRENDA L WIEGERT

Original Issue Date

10/05/1998

Effective Date

12/21/1999

Expiration Date

10/30/1999

City

GREEN BAY

State

Zip

54302

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/29/2005