KELLY JEAN FAGERSTROM Funeral Director and Embalmer License verification

Business Entity

INACTIVE

License Type

Funeral Director and Embalmer

Description

LICENSED FUNERAL DIRECTOR AND EMBALMER

License Number

034017429

License Status

INACTIVE

Business

First Name

KELLY

Middle

JEAN

Last Name

FAGERSTROM

Business Name

KELLY JEAN FAGERSTROM

Original Issue Date

12/13/2022

Effective Date

03/09/2023

Expiration Date

05/31/2025

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/09/2025