A V GILLESPIE Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000149

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

GILLESPIE

Business Name

A V GILLESPIE

Original Issue Date

02/26/2003

Effective Date

06/04/2004

Expiration Date

04/30/2004

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005