NATHAN MARSHALL STATUM - IDPR Registered License in Illinois | # 235000404

NATHAN MARSHALL STATUM

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000404

License Status

NOT RENEWED

Business

N

First Name

NATHAN

Middle

MARSHALL

Last Name

STATUM

Business Name

NATHAN MARSHALL STATUM

Original Issue Date

04/20/2015

Effective Date

04/20/2015

Expiration Date

04/30/2016

State

IL

Ever Disciplined

N

LastModifiedDate

06/10/2016