ROBERT M MACKICHAN Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000169

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

MACKICHAN

Business Name

ROBERT M MACKICHAN

Original Issue Date

02/26/2003

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021