CHAD A PROVOST 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

033012306

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

PROVOST

Business Name

CHAD A PROVOST

Original Issue Date

11/18/2009

Effective Date

11/18/2009

Expiration Date

05/31/2011

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/06/2011