TYA BETH JOHNSON Perfusionist License verification

Business Entity

ACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000349

License Status

ACTIVE

Business

First Name

TYA

Middle

BETH

Last Name

JOHNSON

Business Name

TYA BETH JOHNSON

Original Issue Date

08/14/2014

Effective Date

02/06/2024

Expiration Date

04/30/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/03/2026