SANDY D FARB IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000120

License Status

NOT RENEWED

Business

First Name

SANDY

Middle

Last Name

FARB

Business Name

SANDY D FARB

Original Issue Date

08/09/2007

Effective Date

04/24/2012

Expiration Date

04/30/2014

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/03/2014