GLORIA MANETTE MITTEN Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000160

License Status

NOT RENEWED

Business

First Name

GLORIA

Middle

MANETTE

Last Name

MITTEN

Business Name

GLORIA MANETTE MITTEN

Original Issue Date

02/26/2003

Effective Date

03/03/2004

Expiration Date

04/30/2006

City

COLUMBIA

State

Zip

65201

County

BOONE

Ever Disciplined

LastModifiedDate

11/15/2006