JEFFREY MICHAEL BERTAGNOLI Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003303

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

MICHAEL

Last Name

BERTAGNOLI

Business Name

JEFFREY MICHAEL BERTAGNOLI

Original Issue Date

11/02/1998

Effective Date

12/21/1999

Expiration Date

10/31/1999

City

GREEN BAY

State

Zip

54301

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/29/2005