LASHINA LEWIS-JACKSON Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000099

License Status

NOT RENEWED

Business

First Name

LASHINA

Last Name

LEWIS-JACKSON

Business Name

LASHINA LEWIS-JACKSON

Original Issue Date

01/06/2003

Effective Date

06/20/2007

Expiration Date

04/30/2008

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/04/2008