MENSA K MUATA Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000078

License Status

NOT RENEWED

Business

First Name

MENSA

Middle

Last Name

MUATA

Business Name

MENSA K MUATA

Original Issue Date

01/11/2006

Effective Date

09/10/2010

Expiration Date

04/30/2012

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/13/2012