TRAVIS GENE BROADFIELD - IDPR Registered License in Illinois | # 235000077

TRAVIS GENE BROADFIELD

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000077

License Status

NOT RENEWED

Business

N

First Name

TRAVIS

Middle

GENE

Last Name

BROADFIELD

Business Name

TRAVIS GENE BROADFIELD

Original Issue Date

03/09/2006

Effective Date

03/09/2006

Expiration Date

04/30/2008

State

IL

Ever Disciplined

N

LastModifiedDate

06/04/2008