BLAINE ALEXANDER JOHNSON Perfusionist License verification

Business Entity

ACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000417

License Status

ACTIVE

Business

First Name

BLAINE

Middle

ALEXANDER

Last Name

JOHNSON

Business Name

BLAINE ALEXANDER JOHNSON

Original Issue Date

01/25/2019

Effective Date

02/04/2024

Expiration Date

04/30/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

02/03/2026