TRACYE A CHURCH Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000431

License Status

NOT RENEWED

Business

First Name

TRACYE

Middle

Last Name

CHURCH

Business Name

TRACYE A CHURCH

Original Issue Date

09/05/2019

Effective Date

09/05/2019

Expiration Date

09/30/2020

City

LOUISVILLE

State

Zip

40222

County

KENTUCKY

Ever Disciplined

LastModifiedDate

02/01/2021