JOAN KATHRYN SELBURG Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000134

License Status

NOT RENEWED

Business

First Name

JOAN

Middle

KATHRYN

Last Name

SELBURG

Business Name

JOAN KATHRYN SELBURG

Original Issue Date

01/09/2007

Effective Date

02/24/2010

Expiration Date

04/30/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

06/13/2012