SUSAN NICOLE MOREAU Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL TECHNOLOGIST

License Number

237000136

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

NICOLE

Last Name

MOREAU

Business Name

SUSAN NICOLE MOREAU

Original Issue Date

12/13/2013

Effective Date

07/30/2020

Expiration Date

05/31/2022

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022