KELVIN DEANGELO TIDWELL Perfusionist License verification

Business Entity

ACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214010783

License Status

ACTIVE

Business

First Name

KELVIN

Middle

DEANGELO

Last Name

TIDWELL

Business Name

KELVIN DEANGELO TIDWELL

Original Issue Date

12/15/2025

Effective Date

12/15/2025

Expiration Date

04/30/2026

City

COLUMBIA

State

Zip

65203

Ever Disciplined

LastModifiedDate

12/15/2025