BETH ANNETTE CHAVEZ Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000370

License Status

NOT RENEWED

Business

First Name

BETH

Middle

ANNETTE

Last Name

CHAVEZ

Business Name

BETH ANNETTE CHAVEZ

Original Issue Date

09/21/2015

Effective Date

02/14/2018

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021