KRISTINA MARIE IVAN IDPR Registered License verification

Business Entity

INACTIVE

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000763

License Status

INACTIVE

Business

First Name

KRISTINA

Middle

MARIE

Last Name

IVAN

Business Name

KRISTINA MARIE IVAN

Original Issue Date

08/19/2022

Effective Date

01/24/2023

Expiration Date

01/31/2025

City

FRASER

State

Zip

48026

Ever Disciplined

LastModifiedDate

01/28/2025