LEO EDWARD LAFAUCE - Perfusionist License in Illinois | # 214000224

LEO EDWARD LAFAUCE

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000224

License Status

NOT RENEWED

Business

N

First Name

LEO

Middle

EDWARD

Last Name

LAFAUCE

Business Name

LEO EDWARD LAFAUCE

Original Issue Date

01/07/2004

Effective Date

04/25/2016

Expiration Date

04/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018