STANDEFER J BOULWARE IDPR Registered License verification

Business Entity

ACTIVE

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000494

License Status

ACTIVE

Business

First Name

STANDEFER

Middle

Last Name

BOULWARE

Business Name

STANDEFER J BOULWARE

Original Issue Date

02/05/2018

Effective Date

02/04/2026

Expiration Date

04/30/2028

City

MACON

State

Zip

62544

County

MACON

Ever Disciplined

LastModifiedDate

02/04/2026