RUSSELL LEE BURCHAM Environmental Health Practitioner License verification

Business Entity

EXPIRED

License Type

Environmental Health Practitioner

Description

ENVIRONMENTAL HEALTH PRACTITIONER IN TRAINING

License Number

221000013

License Status

EXPIRED

Business

First Name

RUSSELL

Middle

LEE

Last Name

BURCHAM

Business Name

RUSSELL LEE BURCHAM

Original Issue Date

07/31/2003

Effective Date

07/31/2006

Expiration Date

07/31/2009

City

EAST PEORIA

State

Zip

61611

County

WOODFORD

Ever Disciplined

LastModifiedDate

08/05/2009