SCOTT D NILES Perfusionist License verification

Business Entity

ACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000444

License Status

ACTIVE

Business

First Name

SCOTT

Middle

Last Name

NILES

Business Name

SCOTT D NILES

Original Issue Date

02/21/2020

Effective Date

02/06/2026

Expiration Date

04/30/2028

City

MIDDLETON

State

Zip

53562

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/06/2026