ILLINOIS DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH / Illinois Department of Public / Authority of the State / Illinois Department of Public Health / Division of Environmental Health / Year NAME & ADDRESS OF SCHOOL / /
Person
GED CERTIFICATE / / /
Position
inch Head / Governor / STRUCTURAL PEST CONTROL TECHNICIAN / certified technician / /
ILLINOIS DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 525 W. JEFFERSON ST. SPRINGFIELD, IL[removed]APPLICATION FOR CERTIFICATION AS A STRUCTURAL PEST CONTROL TECHNICIAN GENERAL USE PESTICIDES