MICHAEL E WALLOCK - Perfusionist License in Illinois | # 214000120

MICHAEL E WALLOCK

Business Entity

ACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000120

License Status

ACTIVE

Business

N

First Name

MICHAEL

Middle

E

Last Name

WALLOCK

Business Name

MICHAEL E WALLOCK

Original Issue Date

01/16/2003

Effective Date

03/06/2026

Expiration Date

04/30/2028

State

IL

Ever Disciplined

N

LastModifiedDate

03/06/2026