ANN E KWATE Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000061

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

KWATE

Business Name

ANN E KWATE

Original Issue Date

09/13/2002

Effective Date

02/14/2006

Expiration Date

04/30/2008

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/04/2008