CONSTANCE MARIE LARSON Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL TECHNOLOGIST

License Number

237000153

License Status

NOT RENEWED

Business

First Name

CONSTANCE

Middle

MARIE

Last Name

LARSON

Business Name

CONSTANCE MARIE LARSON

Original Issue Date

04/10/2015

Effective Date

04/10/2015

Expiration Date

04/30/2016

City

ORION

State

Zip

61273

County

HENRY

Ever Disciplined

LastModifiedDate

06/10/2016