ERNEST WALTER KLUSAK Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000568

License Status

NOT RENEWED

Business

First Name

ERNEST

Middle

WALTER

Last Name

KLUSAK

Business Name

ERNEST WALTER KLUSAK

Original Issue Date

12/21/2017

Effective Date

03/16/2020

Expiration Date

05/31/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022