MELODY WALLACK Surgical Assistant/Technologist License verification

Business Entity

NOT RENEWED

License Type

Surgical Assistant/Technologist

Description

REGISTERED SURGICAL ASSISTANT

License Number

238000616

License Status

NOT RENEWED

Business

First Name

MELODY

Last Name

WALLACK

Business Name

MELODY WALLACK

Original Issue Date

12/05/2018

Effective Date

09/30/2020

Expiration Date

05/31/2022

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022