TRACYE A CHURCH - Perfusionist License in Kentucky | # 214000431

TRACYE A CHURCH

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000431

License Status

NOT RENEWED

Business

N

First Name

TRACYE

Middle

A

Last Name

CHURCH

Business Name

TRACYE A CHURCH

Original Issue Date

09/05/2019

Effective Date

09/05/2019

Expiration Date

09/30/2020

State

KY

Ever Disciplined

N

LastModifiedDate

02/01/2021