ERNEST WALTER KLUSAK - Surgical Assistant/Technologist License in Illinois | # 238000568

ERNEST WALTER KLUSAK

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000568

License Status

NOT RENEWED

Business

N

First Name

ERNEST

Middle

WALTER

Last Name

KLUSAK

Business Name

ERNEST WALTER KLUSAK

Original Issue Date

12/21/2017

Effective Date

03/16/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022