DANIEL E SMITH Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000251

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

SMITH

Business Name

DANIEL E SMITH

Original Issue Date

08/26/2005

Effective Date

02/14/2006

Expiration Date

04/30/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

06/04/2008