FIAROUZ M WADA Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000571

License Status

NOT RENEWED

Business

First Name

FIAROUZ

Middle

Last Name

WADA

Business Name

FIAROUZ M WADA

Original Issue Date

01/24/2018

Effective Date

04/16/2018

Expiration Date

09/30/2020

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021