STACI J ANDERSON IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000321

License Status

NOT RENEWED

Business

First Name

STACI

Middle

Last Name

ANDERSON

Business Name

STACI J ANDERSON

Original Issue Date

07/25/2013

Effective Date

02/13/2014

Expiration Date

04/30/2016

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/10/2016