BENTON BLAKELY FARRELL Perfusionist License verification

Business Entity

ACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000531

License Status

ACTIVE

Business

First Name

BENTON

Middle

BLAKELY

Last Name

FARRELL

Business Name

BENTON BLAKELY FARRELL

Original Issue Date

05/24/2024

Effective Date

05/24/2024

Expiration Date

04/30/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

02/03/2026