SHAYNA TOVA PURCELL BURCH IDPR Registered License verification

Business Entity

CANCELLED

License Type

IDPR Registered

Description

TEMPORARY GENETIC COUNSELOR

License Number

247000092

License Status

CANCELLED

Business

First Name

SHAYNA

Middle

TOVA PURCELL

Last Name

BURCH

Business Name

SHAYNA TOVA PURCELL BURCH

Original Issue Date

07/25/2017

Effective Date

07/25/2017

Expiration Date

07/25/2019

City

ENID

State

Zip

73703

Ever Disciplined

LastModifiedDate

07/21/2017