SAMUEL DOMINICO - Perfusionist License in North Carolina | # 214000091

SAMUEL DOMINICO

Business Entity

INACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000091

License Status

INACTIVE

Business

N

First Name

SAMUEL

Last Name

DOMINICO

Business Name

SAMUEL DOMINICO

Original Issue Date

01/03/2003

Effective Date

03/16/2004

Expiration Date

04/30/2006

State

NC

Ever Disciplined

N

LastModifiedDate

06/05/2006