KIMBERLY ROCHELLE GORDON Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000236

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ROCHELLE

Last Name

GORDON

Business Name

KIMBERLY ROCHELLE GORDON

Original Issue Date

09/24/2009

Effective Date

03/07/2012

Expiration Date

04/30/2014

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/03/2014