DIANE MARY SHINNALL Perfusionist License verification

Business Entity

INACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000057

License Status

INACTIVE

Business

First Name

DIANE

Middle

MARY

Last Name

SHINNALL

Business Name

DIANE MARY SHINNALL

Original Issue Date

08/30/2002

Effective Date

02/14/2006

Expiration Date

04/30/2008

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

02/08/2008