MAGDALENA SOUZA Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000276

License Status

NOT RENEWED

Business

First Name

MAGDALENA

Last Name

SOUZA

Business Name

MAGDALENA SOUZA

Original Issue Date

12/07/2007

Effective Date

04/05/2012

Expiration Date

04/30/2014

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/03/2014