RYAN A DERRICK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194011388

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

DERRICK

Business Name

RYAN A DERRICK

Original Issue Date

04/09/2020

Effective Date

12/31/2021

Expiration Date

10/31/2023

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/28/2024