JEFFREY BRIAN WENZEL Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004455

License Status

INACTIVE

Business

First Name

JEFFREY

Middle

BRIAN

Last Name

WENZEL

Business Name

JEFFREY BRIAN WENZEL

Original Issue Date

08/21/2000

Effective Date

10/09/2003

Expiration Date

10/31/2005

City

SUN PRAIRIE

State

Zip

53590

Ever Disciplined

LastModifiedDate

09/09/2005