MICHAEL J GOUGH Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000295

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

GOUGH

Business Name

MICHAEL J GOUGH

Original Issue Date

03/11/2009

Effective Date

05/03/2016

Expiration Date

04/30/2018

City

FRANKLIN

State

Zip

53132

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/19/2018