DEANNA LYNN DICKEY Perfusionist License verification

Business Entity

INACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000068

License Status

INACTIVE

Business

First Name

DEANNA

Middle

LYNN

Last Name

DICKEY

Business Name

DEANNA LYNN DICKEY

Original Issue Date

10/07/2002

Effective Date

03/15/2004

Expiration Date

04/30/2006

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/05/2006