JOHN JEFFREY POLAND Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000054

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

JEFFREY

Last Name

POLAND

Business Name

JOHN JEFFREY POLAND

Original Issue Date

08/23/2002

Effective Date

02/08/2008

Expiration Date

04/30/2010

City

ELLISVILLE

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/02/2010