KIMBERLY RAE GLOGOWSKI Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000137

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

RAE

Last Name

GLOGOWSKI

Business Name

KIMBERLY RAE GLOGOWSKI

Original Issue Date

02/19/2003

Effective Date

06/04/2004

Expiration Date

04/30/2004

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005