TERRY L BROOKMAN IDPR Registered License verification

Business Entity

INACTIVE

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000082

License Status

INACTIVE

Business

First Name

TERRY

Middle

Last Name

BROOKMAN

Business Name

TERRY L BROOKMAN

Original Issue Date

05/30/2006

Effective Date

03/16/2012

Expiration Date

04/30/2014

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

02/06/2014