MARY ELLEN WALLACE Environmental Health Practitioner License verification

Business Entity

NOT RENEWED

License Type

Environmental Health Practitioner

Description

ENVIRONMENTAL HEALTH PRACTITIONER IN TRAINING

License Number

221000035

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

WALLACE

Business Name

MARY ELLEN WALLACE

Original Issue Date

07/31/2003

Effective Date

07/31/2003

Expiration Date

07/31/2006

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/03/2006