DEBORAH ELLEN BAKER Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000088

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

ELLEN

Last Name

BAKER

Business Name

DEBORAH ELLEN BAKER

Original Issue Date

01/03/2003

Effective Date

03/02/2004

Expiration Date

04/30/2006

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/15/2006