KIMBERLY G NICKEL Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000216

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

NICKEL

Business Name

KIMBERLY G NICKEL

Original Issue Date

10/08/2003

Effective Date

02/13/2014

Expiration Date

04/30/2016

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

06/10/2016