ALEXIS BERTUMEN NAVARES Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000160

License Status

NOT RENEWED

Business

First Name

ALEXIS

Middle

BERTUMEN

Last Name

NAVARES

Business Name

ALEXIS BERTUMEN NAVARES

Original Issue Date

07/09/2007

Effective Date

02/05/2010

Expiration Date

04/30/2012

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

06/13/2012