PHILLIP S BLACK Environmental Health Practitioner License verification

Business Entity

INACTIVE

License Type

Environmental Health Practitioner

Description

LICENSED ENVIRONMENTAL HEALTH PRACTITIONER

License Number

183000398

License Status

INACTIVE

Business

First Name

PHILLIP S

Last Name

BLACK

Business Name

PHILLIP S BLACK

Original Issue Date

12/12/1996

Effective Date

12/12/1996

Expiration Date

04/30/1998

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/16/2005