SUSAN V SIMONTON Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000161

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

SIMONTON

Business Name

SUSAN V SIMONTON

Original Issue Date

02/26/2003

Effective Date

05/11/2010

Expiration Date

04/30/2012

City

QUEENS VILLAGE

State

Zip

11427

County

NEW YORK

Ever Disciplined

LastModifiedDate

06/13/2012