LAUREN N FENNELL Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000307

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

Last Name

FENNELL

Business Name

LAUREN N FENNELL

Original Issue Date

04/26/2010

Effective Date

04/26/2010

Expiration Date

04/30/2012

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

06/13/2012