MEGAN LEA BROCK Perfusionist License verification

Business Entity

ACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000524

License Status

ACTIVE

Business

First Name

MEGAN

Middle

LEA

Last Name

BROCK

Business Name

MEGAN LEA BROCK

Original Issue Date

04/01/2024

Effective Date

03/05/2026

Expiration Date

04/30/2028

City

HIGHLAND

State

Zip

46322

Ever Disciplined

LastModifiedDate

03/05/2026