AMANDA MARIE WOLAK CCP Perfusionist License verification

Business Entity

ACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000416

License Status

ACTIVE

Business

Title

CCP

First Name

AMANDA

Middle

MARIE

Last Name

WOLAK

Business Name

AMANDA MARIE WOLAK CCP

Original Issue Date

01/25/2019

Effective Date

02/07/2024

Expiration Date

04/30/2026

City

VALPARAISO

State

Zip

46385

Ever Disciplined

LastModifiedDate

02/03/2026