MICAH LEE SERVIS Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000264

License Status

NOT RENEWED

Business

First Name

MICAH

Middle

LEE

Last Name

SERVIS

Business Name

MICAH LEE SERVIS

Original Issue Date

06/23/2010

Effective Date

05/06/2020

Expiration Date

05/31/2022

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

07/27/2022