MICHELLE LYNN BEATY Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000176

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

LYNN

Last Name

BEATY

Business Name

MICHELLE LYNN BEATY

Original Issue Date

03/05/2003

Effective Date

02/08/2005

Expiration Date

04/30/2006

City

ELKHORN

State

Zip

68022

County

PEORIA

Ever Disciplined

LastModifiedDate

11/15/2006