SHAWN EDWARD GOLDSMITH - Perfusionist License in Indiana | # 214000365

SHAWN EDWARD GOLDSMITH

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000365

License Status

NOT RENEWED

Business

N

First Name

SHAWN

Middle

EDWARD

Last Name

GOLDSMITH

Business Name

SHAWN EDWARD GOLDSMITH

Original Issue Date

05/07/2015

Effective Date

05/07/2015

Expiration Date

04/30/2016

State

IN

Ever Disciplined

N

LastModifiedDate

06/10/2016