License Information
License Number
006058649Business Name
DEBRA C POLKLicense Type
COSMOOriginal Issue Date
1983-12-23License Status
NOT RENEWEDCity
WYOMINGState
ILCounty
STARKPost
61491Update Date
2022-05-04Business
NEffective Date
01/31/2020Expiration Date
09/30/2021Ever Disciplined
NLastModifiedDate
03/18/2022Registered Location
Peripheral Licensees
- STEVEN V SLOAN WYOMING, IL 61491
- KENNETH R BOYCE WYOMING, IL 61491
- KATHLEEN HALLER WYOMING, MI 49418
- JULIE PORTER HANSARD WYOMING, IL 61491
- KIMBERLY S PERKINS WYOMING, IL 61491
- GUY C NELSON WYOMING, MI 49509
- CHRISTIAN H QUINN WYOMING, IL 61491
- TRACY A GERCAK WYOMING, PA 18644
- RUCKER R MEAKER WYOMING, IL 61491
- AUDREY J BAWN WYOMING, IL 61491