LACEY KIM O'DORAN Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL TECHNOLOGIST

License Number

237000097

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

KIM

Last Name

O'DORAN

Business Name

LACEY KIM O'DORAN

Original Issue Date

04/29/2011

Effective Date

04/18/2016

Expiration Date

04/30/2018

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018