TIFFANY HOPE CLARK Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL TECHNOLOGIST

License Number

237000061

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

HOPE

Last Name

CLARK

Business Name

TIFFANY HOPE CLARK

Original Issue Date

10/27/2008

Effective Date

02/16/2010

Expiration Date

04/30/2012

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

06/13/2012