DAVID J ROSE IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000205

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

ROSE

Business Name

DAVID J ROSE

Original Issue Date

10/27/2009

Effective Date

04/23/2012

Expiration Date

04/30/2014

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2014