TITILAYO M LANE Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL TECHNOLOGIST

License Number

237000122

License Status

NOT RENEWED

Business

First Name

TITILAYO

Middle

Last Name

LANE

Business Name

TITILAYO M LANE

Original Issue Date

10/30/2012

Effective Date

10/30/2012

Expiration Date

04/30/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014