TERRY L PRUVOST Funeral Director and Embalmer License verification

Business Entity

CANCELLED

License Type

Funeral Director and Embalmer

Description

LICENSED FUNERAL DIRECTOR

License Number

031008140

License Status

CANCELLED

Business

First Name

TERRY L

Last Name

PRUVOST

Business Name

TERRY L PRUVOST

Original Issue Date

10/17/1975

Effective Date

10/17/1975

Expiration Date

05/31/1991

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/23/2006