MICHAEL E WALLOCK Perfusionist License verification

Business Entity

ACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000120

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

WALLOCK

Business Name

MICHAEL E WALLOCK

Original Issue Date

01/16/2003

Effective Date

03/06/2026

Expiration Date

04/30/2028

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/06/2026