ALEXANDRE DEREVIANKO - Surgical Assistant/Technologist License in Massachusetts | # 238000408

ALEXANDRE DEREVIANKO

Business Entity

INACTIVE

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000408

License Status

INACTIVE

Business

N

First Name

ALEXANDRE

Last Name

DEREVIANKO

Business Name

ALEXANDRE DEREVIANKO

Original Issue Date

02/13/2014

Effective Date

04/29/2016

Expiration Date

04/30/2018

State

MA

Ever Disciplined

N

LastModifiedDate

02/09/2018