MICHELLE MARIE KUSIAK Funeral Director and Embalmer License verification

Business Entity

NOT RENEWED

License Type

Funeral Director and Embalmer

Description

LICENSED FUNERAL DIRECTOR AND EMBALMER INTERN

License Number

033011936

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

MARIE

Last Name

KUSIAK

Business Name

MICHELLE MARIE KUSIAK

Original Issue Date

05/31/2005

Effective Date

05/31/2005

Expiration Date

05/31/2007

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

07/18/2007