TERRY LEE RESIDE Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000219

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

LEE

Last Name

RESIDE

Business Name

TERRY LEE RESIDE

Original Issue Date

02/20/2009

Effective Date

03/25/2022

Expiration Date

04/30/2024

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/05/2025