LORI ANN BOARDWELL IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000091

License Status

NOT RENEWED

Business

First Name

LORI

Middle

ANN

Last Name

BOARDWELL

Business Name

LORI ANN BOARDWELL

Original Issue Date

09/11/2006

Effective Date

09/11/2006

Expiration Date

04/30/2008

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/04/2008