JENNIFER L NUSBAUM Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL TECHNOLOGIST

License Number

237000043

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

NUSBAUM

Business Name

JENNIFER L NUSBAUM

Original Issue Date

07/02/2007

Effective Date

07/02/2007

Expiration Date

04/30/2008

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

06/04/2008