BROOK DEMOISY CROKE IDPR Registered License verification

Business Entity

CANCELLED

License Type

IDPR Registered

Description

TEMPORARY GENETIC COUNSELOR

License Number

247000037

License Status

CANCELLED

Business

First Name

BROOK

Middle

DEMOISY

Last Name

CROKE

Business Name

BROOK DEMOISY CROKE

Original Issue Date

01/18/2012

Effective Date

01/18/2012

Expiration Date

01/18/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/13/2015