BETSY JACKSON Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000108

License Status

NOT RENEWED

Business

First Name

BETSY

Last Name

JACKSON

Business Name

BETSY JACKSON

Original Issue Date

01/14/2003

Effective Date

05/26/2004

Expiration Date

04/30/2006

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/15/2006