LEONARD A SELKURT IDPR Registered License verification

Business Entity

TERMINATED WITHOUT CARD

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000310

License Status

TERMINATED WITHOUT CARD

Business

First Name

LEONARD

Middle

Last Name

SELKURT

Business Name

LEONARD A SELKURT

Original Issue Date

03/01/2013

Effective Date

03/01/2013

Expiration Date

04/30/2014

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/19/2012