TRACY ELLEN POWELL Perfusionist License verification

Business Entity

ACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000333

License Status

ACTIVE

Business

First Name

TRACY

Middle

ELLEN

Last Name

POWELL

Business Name

TRACY ELLEN POWELL

Original Issue Date

12/13/2012

Effective Date

02/09/2026

Expiration Date

04/30/2028

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Ever Disciplined

LastModifiedDate

02/09/2026