GAGE R CLARK IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000629

License Status

NOT RENEWED

Business

First Name

GAGE

Middle

Last Name

CLARK

Business Name

GAGE R CLARK

Original Issue Date

05/23/2022

Effective Date

05/23/2022

Expiration Date

04/30/2024

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

02/05/2025