RITA KAY MEHLICK Perfusionist License verification

Business Entity

INACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000173

License Status

INACTIVE

Business

First Name

RITA

Middle

KAY

Last Name

MEHLICK

Business Name

RITA KAY MEHLICK

Original Issue Date

03/04/2003

Effective Date

03/12/2012

Expiration Date

04/30/2014

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/06/2014