MICHAEL THOMAS SULLIVAN Perfusionist License verification

Business Entity

NOT RENEWED

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000385

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

THOMAS

Last Name

SULLIVAN

Business Name

MICHAEL THOMAS SULLIVAN

Original Issue Date

09/13/2016

Effective Date

02/13/2020

Expiration Date

05/31/2022

City

MARSHFIELD

State

Zip

54449

Ever Disciplined

LastModifiedDate

03/11/2026