ROBIN K FORTNER IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000060

License Status

NOT RENEWED

Business

First Name

ROBIN

Middle

Last Name

FORTNER

Business Name

ROBIN K FORTNER

Original Issue Date

01/06/2006

Effective Date

02/14/2006

Expiration Date

04/30/2008

City

GEORGETOWN

State

Zip

61846

County

VERMILION

Ever Disciplined

LastModifiedDate

06/04/2008