MATTHEW NELSON WILDER Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000337

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

NELSON

Last Name

WILDER

Business Name

MATTHEW NELSON WILDER

Original Issue Date

06/07/2013

Effective Date

02/25/2020

Expiration Date

05/31/2022

City

LOCKPORT

State

Zip

60441

Ever Disciplined

LastModifiedDate

07/27/2022