MAKENZIE TAYLOR PROVINES - IDPR Registered License in Illinois | # 235000486

MAKENZIE TAYLOR PROVINES

Business Entity

NOT RENEWED

License Type

IDPR Registered

Description

CERTIFIED EUTHANASIA TECHNICIAN

License Number

235000486

License Status

NOT RENEWED

Business

N

First Name

MAKENZIE

Middle

TAYLOR

Last Name

PROVINES

Business Name

MAKENZIE TAYLOR PROVINES

Original Issue Date

01/16/2018

Effective Date

01/16/2018

Expiration Date

04/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018