ELZELIEN JOAN SULLIVAN Perfusionist License verification

Business Entity

INACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000208

License Status

INACTIVE

Business

First Name

ELZELIEN

Middle

JOAN

Last Name

SULLIVAN

Business Name

ELZELIEN JOAN SULLIVAN

Original Issue Date

08/19/2003

Effective Date

04/16/2012

Expiration Date

04/30/2014

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

02/06/2014