LEO EDWARD LAFAUCE Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000224

License Status

NOT RENEWED

Business

First Name

LEO

Middle

EDWARD

Last Name

LAFAUCE

Business Name

LEO EDWARD LAFAUCE

Original Issue Date

01/07/2004

Effective Date

04/25/2016

Expiration Date

04/30/2018

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/19/2018