SHAWN EDWARD GOLDSMITH Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000365

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

EDWARD

Last Name

GOLDSMITH

Business Name

SHAWN EDWARD GOLDSMITH

Original Issue Date

05/07/2015

Effective Date

05/07/2015

Expiration Date

04/30/2016

City

CARMEL

State

Zip

46074

County

INDIANA

Ever Disciplined

LastModifiedDate

06/10/2016