REBECCA ANNE CLARK Perfusionist License verification

Business Entity

ACTIVE

License Type

Perfusionist

Description

LICENSED PERFUSIONIST

License Number

214000504

License Status

ACTIVE

Business

First Name

REBECCA

Middle

ANNE

Last Name

CLARK

Business Name

REBECCA ANNE CLARK

Original Issue Date

05/01/2023

Effective Date

03/26/2024

Expiration Date

04/30/2026

City

GREEN BAY

State

Zip

54303

Ever Disciplined

LastModifiedDate

02/03/2026