TRACEY LARAE FULLER Funeral Director and Embalmer License verification

Business Entity

CANCELLED

License Type

Funeral Director and Embalmer

Description

LICENSED FUNERAL DIRECTOR AND EMBALMER INTERN

License Number

033000661

License Status

CANCELLED

Business

First Name

TRACEY

Middle

LARAE

Last Name

FULLER

Business Name

TRACEY LARAE FULLER

Original Issue Date

11/04/1996

Effective Date

11/04/1996

Expiration Date

05/31/1999

City

MOUNT OLIVE

State

Zip

62069

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/23/2006