DEANA MICHELLE FORD Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000225

License Status

NOT RENEWED

Business

First Name

DEANA

Middle

MICHELLE

Last Name

FORD

Business Name

DEANA MICHELLE FORD

Original Issue Date

01/15/2004

Effective Date

02/14/2006

Expiration Date

04/30/2008

City

LANSING

State

Zip

48917

County

MICHIGAN

Ever Disciplined

LastModifiedDate

06/04/2008