JACOB A PROCTOR Environmental Health Practitioner License verification

Business Entity

INACTIVE

License Type

Environmental Health Practitioner

Description

LICENSED ENVIRONMENTAL HEALTH PRACTITIONER

License Number

183000736

License Status

INACTIVE

Business

First Name

JACOB

Middle

Last Name

PROCTOR

Business Name

JACOB A PROCTOR

Original Issue Date

05/19/2004

Effective Date

04/21/2014

Expiration Date

04/30/2016

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

02/17/2016