MARIANNE LINDA KOZAK IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000109

License Status

NOT RENEWED

Business

First Name

MARIANNE

Middle

LINDA

Last Name

KOZAK

Business Name

MARIANNE LINDA KOZAK

Original Issue Date

04/25/2007

Effective Date

03/12/2014

Expiration Date

04/30/2016

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

06/10/2016