SUSAN C LANSKY SHAFER IDPR Registered License verification

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000020

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

LANSKY SHAFER

Business Name

SUSAN C LANSKY SHAFER

Original Issue Date

01/24/2008

Effective Date

02/01/2017

Expiration Date

01/31/2019

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/28/2019