DAVID R KOZAK IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000145

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

KOZAK

Business Name

DAVID R KOZAK

Original Issue Date

03/20/2008

Effective Date

03/20/2008

Expiration Date

04/30/2010

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2010