MAKENZIE TAYLOR PROVINES IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000486

License Status

NOT RENEWED

Business

First Name

MAKENZIE

Middle

TAYLOR

Last Name

PROVINES

Business Name

MAKENZIE TAYLOR PROVINES

Original Issue Date

01/16/2018

Effective Date

01/16/2018

Expiration Date

04/30/2018

City

CLAREMONT

State

Zip

62421

County

RICHLAND

Ever Disciplined

LastModifiedDate

06/19/2018