CHARLES SCOTT BROOKS Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000360

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

SCOTT

Last Name

BROOKS

Business Name

CHARLES SCOTT BROOKS

Original Issue Date

01/15/2015

Effective Date

02/24/2016

Expiration Date

04/30/2018

City

EVANSVILLE

State

Zip

47715

County

INDIANA

Ever Disciplined

LastModifiedDate

06/19/2018