Borning, Robert N - Embalmer

Borning, Robert N - (Embalmer)

295 Riley Ridge Road

Doing Business As :

Linn Creek, MO 65052

License# : 2007023521 - Issued on : 8/1/2007

Licensee Name:	Borning, Robert N
Profession Name:	Embalmer
Address:	295 Riley Ridge Road
Address Con't:
City, State Zip:	Linn Creek, MO 65052
County:	Camden
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2007023521
Expiration Date:	5/31/2016
Original Issue Date:	8/1/2007

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Blank, Ernest John - Preneed Agent Funeral Director

Blank, Ernest John - (Preneed Agent Funeral Director)

3918 Regalway

Doing Business As :

Saint Louis, MO 63129

License# : 2009039281 - Issued on : 12/28/2009

Licensee Name:	Blank, Ernest John
Profession Name:	Preneed Agent Funeral Director
Address:	3918 Regalway
Address Con't:
City, State Zip:	Saint Louis, MO 63129
County:	St. Louis County
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2009039281
Expiration Date:	11/30/2015
Original Issue Date:	12/28/2009

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Blossom, James R - Embalmer

Blossom, James R - (Embalmer)

1304 Boone Street

Doing Business As :

Troy, MO 63379

License# : 005984 - Issued on : 6/22/1979

Licensee Name:	Blossom, James R
Profession Name:	Embalmer
Address:	1304 Boone Street
Address Con't:
City, State Zip:	Troy, MO 63379
County:	Lincoln
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	005984
Expiration Date:	5/31/2016
Original Issue Date:	6/22/1979

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Blossom, Mari K - Preneed Agent Funeral Director

Blossom, Mari K - (Preneed Agent Funeral Director)

1304 Boone St

Doing Business As :

Troy, MO 63379

License# : 2009039283 - Issued on : 12/28/2009

Licensee Name:	Blossom, Mari K
Profession Name:	Preneed Agent Funeral Director
Address:	1304 Boone St
Address Con't:
City, State Zip:	Troy, MO 63379
County:	Lincoln
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2009039283
Expiration Date:	11/30/2015
Original Issue Date:	12/28/2009

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Blum, Wayne J - Funeral Director

Blum, Wayne J - (Funeral Director)

471 West Commercial

Doing Business As :

Kahoka, MO 634451327

License# : 000241 - Issued on : 12/13/1965

Licensee Name:	Blum, Wayne J
Profession Name:	Funeral Director
Address:	471 West Commercial
Address Con't:
City, State Zip:	Kahoka, MO 634451327
County:	Clark
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	000241
Expiration Date:	5/31/2016
Original Issue Date:	12/13/1965

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Bowlin Funeral Home, Inc. - Funeral Establishment

Bowlin Funeral Home, Inc. - (Funeral Establishment)

100 S Oak St.

Doing Business As : Bowlin-Cantriel Funeral Services

California, MO 65018

License# : 002237 - Issued on : 6/24/1991

Licensee Name:	Bowlin Funeral Home, Inc.
Profession Name:	Funeral Establishment
Address:	100 S Oak St.
Address Con't:
City, State Zip:	California, MO 65018
County:	Moniteau
Practitioner DBA Name:	Bowlin-Cantriel Funeral Services
Certification Type:
Classification:	Embalming and Care/Preparation
Licensee Number:	002237
Expiration Date:	12/31/2015
Original Issue Date:	6/24/1991

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Bowlin Funeral Home, Inc - Preneed Provider

Bowlin Funeral Home, Inc - (Preneed Provider)

100 S Oak St

Doing Business As : Bowlin-Cantriel Funeral Service

California, MO 65018

License# : 2009039022 - Issued on : 12/23/2009

Licensee Name:	Bowlin Funeral Home, Inc
Profession Name:	Preneed Provider
Address:	100 S Oak St
Address Con't:
City, State Zip:	California, MO 65018
County:	Moniteau
Practitioner DBA Name:	Bowlin-Cantriel Funeral Service
Certification Type:
Classification:
Licensee Number:	2009039022
Expiration Date:	10/31/2015
Original Issue Date:	12/23/2009

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Bowlin Funeral Home Inc - Preneed Seller

Bowlin Funeral Home Inc - (Preneed Seller)

100 S Oak St

Doing Business As : Bowlin-Cantriel Funeral Services

California, MO 65018

License# : 2009039023 - Issued on : 12/23/2009

Licensee Name:	Bowlin Funeral Home Inc
Profession Name:	Preneed Seller
Address:	100 S Oak St
Address Con't:
City, State Zip:	California, MO 65018
County:	Moniteau
Practitioner DBA Name:	Bowlin-Cantriel Funeral Services
Certification Type:
Classification:
Licensee Number:	2009039023
Expiration Date:	10/31/2015
Original Issue Date:	12/23/2009

 

Discipline:	Suspension
Start Date:	11/1/2013
End Date:	12/10/2013
Conditions:	This license has been suspended by operation of law pursuant to Section 436.460.7, RSMo, which requires suspension of the preneed seller license for failure to file their annual report on or before its due date until such time as the annual report is filed and all applicable fees have been paid.

Discipline:	Suspension
Start Date:	11/1/2011
End Date:	11/28/2011
Conditions:	This license has been suspended by operation of law pursuant to Section 436.460.7, RSMo, which requires suspension of the preneed seller license for failure to file their annual report on or before its due date until such time as the annual report is filed and all applicable fees have been paid.

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Bowles, Lester B - Funeral Director

Bowles, Lester B - (Funeral Director)

4705 Stonybrook Road

Doing Business As :

Godfrey, MO 62035

License# : 004064 - Issued on : 6/30/1976

Licensee Name:	Bowles, Lester B
Profession Name:	Funeral Director
Address:	4705 Stonybrook Road
Address Con't:
City, State Zip:	Godfrey, IL 62035
County:	Unknown/Out of State
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	004064
Expiration Date:	5/31/2016
Original Issue Date:	6/30/1976

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Boulicault, Gary J - Preneed Agent

Boulicault, Gary J - (Preneed Agent)

11923 Barbara Dr

Doing Business As :

Maryland Heights, MO 63043

License# : 2010010843 - Issued on : 4/5/2010

Licensee Name:	Boulicault, Gary J
Profession Name:	Preneed Agent
Address:	11923 Barbara Dr
Address Con't:
City, State Zip:	Maryland Heights, MO 63043
County:	St. Louis County
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2010010843
Expiration Date:	11/30/2015
Original Issue Date:	4/5/2010

 

Discipline:	Suspended 324.010
Start Date:	9/4/2010
End Date:	9/13/2011
Conditions:	This license has been suspended per Section 324.010, RSMo, which requires suspension of the professional license of individuals who fail to file state tax returns or fail to pay state tax liabilities. License reinstated 09-13-11.

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Boudinot, Tom Lawrence - Preneed Agent Funeral Director

Boudinot, Tom Lawrence - (Preneed Agent Funeral Director)

1010 Kingshighway

Doing Business As :

Rolla, MO 65401

License# : 2014043782 - Issued on : 12/23/2014

Licensee Name:	Boudinot, Tom Lawrence
Profession Name:	Preneed Agent Funeral Director
Address:	1010 Kingshighway
Address Con't:
City, State Zip:	Rolla, MO 65401
County:	Phelps
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2014043782
Expiration Date:	11/30/2015
Original Issue Date:	12/23/2014

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Boudinot, Tom Lawrence - Funeral Director

Boudinot, Tom Lawrence - (Funeral Director)

1010 Kingshighway

Doing Business As :

Rolla, MO 65401

License# : 2014040337 - Issued on : 11/14/2014

Licensee Name:	Boudinot, Tom Lawrence
Profession Name:	Funeral Director
Address:	1010 Kingshighway
Address Con't:
City, State Zip:	Rolla, MO 65401
County:	Phelps
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2014040337
Expiration Date:	5/31/2016
Original Issue Date:	11/14/2014

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Boudinot, Tom Lawrence - Embalmer

Boudinot, Tom Lawrence - (Embalmer)

1010 Kingshighway

Doing Business As :

Rolla, MO 65401

License# : 2014040338 - Issued on : 11/14/2014

Licensee Name:	Boudinot, Tom Lawrence
Profession Name:	Embalmer
Address:	1010 Kingshighway
Address Con't:
City, State Zip:	Rolla, MO 65401
County:	Phelps
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2014040338
Expiration Date:	5/31/2016
Original Issue Date:	11/14/2014

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Boten, Charles D - Funeral Director

Boten, Charles D - (Funeral Director)

1009 S.E. 5th Street

Doing Business As :

Lee's Summit, MO 64063

License# : 006797 - Issued on : 3/3/1994

Licensee Name:	Boten, Charles D
Profession Name:	Funeral Director
Address:	1009 S.E. 5th Street
Address Con't:
City, State Zip:	Lee's Summit, MO 64063
County:	Jackson
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	006797
Expiration Date:	5/31/2016
Original Issue Date:	3/3/1994

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Boston, Karley Jayne - Funeral Director

Boston, Karley Jayne - (Funeral Director)

1232 N. Forest Avenue

Doing Business As :

Springfield, MO 65802

License# : 2015023886 - Issued on : 7/13/2015

Licensee Name:	Boston, Karley Jayne
Profession Name:	Funeral Director
Address:	1232 N. Forest Avenue
Address Con't:
City, State Zip:	Springfield, MO 65802
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2015023886
Expiration Date:	5/31/2016
Original Issue Date:	7/13/2015

 

Discipline:	Issued Probated License
Start Date:	7/13/2015
End Date:	7/12/2016
Conditions:	License issued subject to 1 year probation The Board is an agency of the State of Missouri created and established pursuant to Section 333.151, RSMo, and vested with the authority to execute and enforcing the provisions of Chapter 333 and portions of Chapter 436, RSMo. Karley Jayne Boston is an individual residing at 2154 S. Fairway, Apt. 103, Springfield, Missouri 65804. Boston submitted her "Application for Funeral Director's License" to the Board that she signed before a notary public on September 20, 2013. (the "Application"). Boston completed her requirements for licensure as a funeral director in April, 2015. Boston submitted her "Application for Embalmers License" to the Board that she signed before a notary public on September 25, 2013. In her Application for Embalmers License, Boston indicated she would be serving her apprenticeship at Greenlawn Funeral Home, Inc. under the supervision of Clay Adams, James Carver, Stephen K. Smith, and William Dickson Wisner. On October 1, 2013, the Board issued Boston a registration as an embalmer apprentice at Greenlawn Funeral Home, Inc. ("Greenlawn Funeral Home"). Boston left her employment at Greenlawn Funeral Home on April 9, 2014. Boston began employment at Springfield Mortuary Service on April 10, 2014. On April 15, 2014, Boston filed with the Board her Update Application For Registration As An Embalmer Apprentice in which she requested an updated apprentice registration authorizing her to serve as an embalmer apprentice at Springfield Mortuary Service under the supervision of Brian L. Simmons. On May 15, 2014, the Board issued Boston a registration as an embalmer apprentice to be served at Springfield Mortuary Service under the supervision of Brian L. Simmons. Boston submitted her "Affidavits of Practical Work Experience" to the Board on January 24, 2014, February 10, 2015 and on February 17, 2015. Boston is over the age of 18 years. Boston completed the statutory requirements for licensure as an embalmer on May 5, 2015. After discussion with Board staff about her embalming apprenticeship, Boston was requested to meet with the Board to discuss her pending applications. Boston appeared before the Board on June 25, 2015 and discussed her pending applications with the Board. Basis for Probation Boston began work at Greenlawn Funeral Home in July, 2013, but was not authorized by the Board for her embalmer apprenticeship until October 1, 2013. Greenlawn Funeral Home recorded on its embalming log that Boston embalmed a body of August 21, 2013. Boston began work at Springfield Mortuary Service on April 10, 2014, but was not authorized to work as a registered apprentice embalmer until May 15, 2014. On May 28, 2014, the Board received a faxed letter from Boston stating that she began working at Greenlawn Funeral Home in July, 2013 and requested the Board to consider her apprenticeship beginning in July of 2013 rather than on October 13, 2013 when the Board issued her apprenticeship registration. The Board conducted an investigation to determine whether Boston had engaged in unlicensed practice during any time when she did not hold an apprentice embalmer registration. As of May 29, 2014, Springfield Mortuary Service's embalming log indicated that Boston worked on embalming 22 bodies between April 19, 2014 and May 15, 2014. On her "Affidavit of Practical Work" submitted to the Board as evidence of completion of her embalmer apprenticeship, Boston indicated that she completed 25 embalmings at Springfield Mortuary Service between September 12, 2014 and October 1, 2014. An apprentice embalmer registration authorizes the apprentice to work as an embalmer, subject to the requirements of supervision contained in the law, at the location registered with the Board and under the supervision of the supervisor(s) registered with the Board. Boston engaged in the unlicensed practice of embalming by embalming bodies at both Greenlawn Funeral Home and at Springfield Mortuary Service during times when she did not hold proper apprentice embalmer registrations. Boston held out to her employers and to the customers of her employers that she was authorized to serve as an embalmer apprentice at times when she was not so authorized. The Board has cause to deny Boston's application for both a funeral director license and an embalmer license pursuant to Section 333.330.2 (6), (7), and (14), RSMo. The Board finds that issuance of a probated funeral director license and a probated embalmer license, subject to certain terms and conditions, in lieu of denial, will ensure protection of the public.

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Boston, Karley Jayne - Embalmer

Boston, Karley Jayne - (Embalmer)

1232 N. Forest

Doing Business As :

Springfield, MO 65802

License# : 2015023885 - Issued on : 7/13/2015

Licensee Name:	Boston, Karley Jayne
Profession Name:	Embalmer
Address:	1232 N. Forest
Address Con't:
City, State Zip:	Springfield, MO 65802
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2015023885
Expiration Date:	5/31/2016
Original Issue Date:	7/13/2015

 

Discipline:	Issued Probated License
Start Date:	7/13/2015
End Date:	7/12/2016
Conditions:	License issued subject to 1 year probation The Board is an agency of the State of Missouri created and established pursuant to Section 333.151, RSMo, and vested with the authority to execute and enforcing the provisions of Chapter 333 and portions of Chapter 436, RSMo. Karley Jayne Boston is an individual residing at 2154 S. Fairway, Apt. 103, Springfield, Missouri 65804. Boston submitted her "Application for Funeral Director's License" to the Board that she signed before a notary public on September 20, 2013. (the "Application"). Boston completed her requirements for licensure as a funeral director in April, 2015. Boston submitted her "Application for Embalmers License" to the Board that she signed before a notary public on September 25, 2013. In her Application for Embalmers License, Boston indicated she would be serving her apprenticeship at Greenlawn Funeral Home, Inc. under the supervision of Clay Adams, James Carver, Stephen K. Smith, and William Dickson Wisner. On October 1, 2013, the Board issued Boston a registration as an embalmer apprentice at Greenlawn Funeral Home, Inc. ("Greenlawn Funeral Home"). Boston left her employment at Greenlawn Funeral Home on April 9, 2014. Boston began employment at Springfield Mortuary Service on April 10, 2014. On April 15, 2014, Boston filed with the Board her Update Application For Registration As An Embalmer Apprentice in which she requested an updated apprentice registration authorizing her to serve as an embalmer apprentice at Springfield Mortuary Service under the supervision of Brian L. Simmons. On May 15, 2014, the Board issued Boston a registration as an embalmer apprentice to be served at Springfield Mortuary Service under the supervision of Brian L. Simmons. Boston submitted her "Affidavits of Practical Work Experience" to the Board on January 24, 2014, February 10, 2015 and on February 17, 2015. Boston is over the age of 18 years. Boston completed the statutory requirements for licensure as an embalmer on May 5, 2015. After discussion with Board staff about her embalming apprenticeship, Boston was requested to meet with the Board to discuss her pending applications. Boston appeared before the Board on June 25, 2015 and discussed her pending applications with the Board. Basis for Probation Boston began work at Greenlawn Funeral Home in July, 2013, but was not authorized by the Board for her embalmer apprenticeship until October 1, 2013. Greenlawn Funeral Home recorded on its embalming log that Boston embalmed a body of August 21, 2013. Boston began work at Springfield Mortuary Service on April 10, 2014, but was not authorized to work as a registered apprentice embalmer until May 15, 2014. On May 28, 2014, the Board received a faxed letter from Boston stating that she began working at Greenlawn Funeral Home in July, 2013 and requested the Board to consider her apprenticeship beginning in July of 2013 rather than on October 13, 2013 when the Board issued her apprenticeship registration. The Board conducted an investigation to determine whether Boston had engaged in unlicensed practice during any time when she did not hold an apprentice embalmer registration. As of May 29, 2014, Springfield Mortuary Service's embalming log indicated that Boston worked on embalming 22 bodies between April 19, 2014 and May 15, 2014. On her "Affidavit of Practical Work" submitted to the Board as evidence of completion of her embalmer apprenticeship, Boston indicated that she completed 25 embalmings at Springfield Mortuary Service between September 12, 2014 and October 1, 2014. An apprentice embalmer registration authorizes the apprentice to work as an embalmer, subject to the requirements of supervision contained in the law, at the location registered with the Board and under the supervision of the supervisor(s) registered with the Board. Boston engaged in the unlicensed practice of embalming by embalming bodies at both Greenlawn Funeral Home and at Springfield Mortuary Service during times when she did not hold proper apprentice embalmer registrations. Boston held out to her employers and to the customers of her employers that she was authorized to serve as an embalmer apprentice at times when she was not so authorized. The Board has cause to deny Boston's application for both a funeral director license and an embalmer license pursuant to Section 333.330.2 (6), (7), and (14), RSMo. The Board finds that issuance of a probated funeral director license and a probated embalmer license, subject to certain terms and conditions, in lieu of denial, will ensure protection of the public.

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Borning, Robert N - Preneed Agent Funeral Director

Borning, Robert N - (Preneed Agent Funeral Director)

295 Riley Ridge Rd

Doing Business As :

Linn Creek, MO 65025

License# : 2010008571 - Issued on : 3/16/2010

Licensee Name:	Borning, Robert N
Profession Name:	Preneed Agent Funeral Director
Address:	295 Riley Ridge Rd
Address Con't:
City, State Zip:	Linn Creek, MO 65025
County:	Moniteau
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2010008571
Expiration Date:	11/30/2015
Original Issue Date:	3/16/2010

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Borning, Robert N - Funeral Director

Borning, Robert N - (Funeral Director)

295 Riley Ridge Road

Doing Business As :

Linn Creek, MO 65052

License# : 2007023520 - Issued on : 8/1/2007

Licensee Name:	Borning, Robert N
Profession Name:	Funeral Director
Address:	295 Riley Ridge Road
Address Con't:
City, State Zip:	Linn Creek, MO 65052
County:	Camden
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2007023520
Expiration Date:	5/31/2016
Original Issue Date:	8/1/2007

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Borchardt, Suzanne Marie - Preneed Agent Funeral Director

Borchardt, Suzanne Marie - (Preneed Agent Funeral Director)

5705 Pernod Ave

Doing Business As :

Saint Louis, MO 63139

License# : 2009039326 - Issued on : 12/29/2009

Licensee Name:	Borchardt, Suzanne Marie
Profession Name:	Preneed Agent Funeral Director
Address:	5705 Pernod Ave
Address Con't:
City, State Zip:	Saint Louis, MO 63139
County:	St. Louis City
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2009039326
Expiration Date:	11/30/2015
Original Issue Date:	12/29/2009

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Borchardt, Suzanne M - Funeral Director

Borchardt, Suzanne M - (Funeral Director)

5705 Pernod Ave

Doing Business As :

Saint Louis, MO 631391904

License# : 006591 - Issued on : 11/19/1992

Licensee Name:	Borchardt, Suzanne M
Profession Name:	Funeral Director
Address:	5705 Pernod Ave
Address Con't:
City, State Zip:	Saint Louis, MO 631391904
County:	St. Louis City
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	006591
Expiration Date:	5/31/2016
Original Issue Date:	11/19/1992

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Borchardt, Marsha A - Funeral Director

Borchardt, Marsha A - (Funeral Director)

75 Cliff Drive

Doing Business As :

St. Louis, MO 63125

License# : 006534 - Issued on : 7/31/1992

Licensee Name:	Borchardt, Marsha A
Profession Name:	Funeral Director
Address:	75 Cliff Drive
Address Con't:
City, State Zip:	St. Louis, MO 63125
County:	St. Louis County
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	006534
Expiration Date:	5/31/2016
Original Issue Date:	7/31/1992

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Bopp, Louis H, II - Funeral Director

Bopp, Louis H, II - (Funeral Director)

10610 Manchester Road

Doing Business As :

Kirkwood, MO 63122

License# : 002124 - Issued on : 1/21/1966

Licensee Name:	Bopp, Louis H, II
Profession Name:	Funeral Director
Address:	10610 Manchester Road
Address Con't:
City, State Zip:	Kirkwood, MO 63122
County:	St. Louis County
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	002124
Expiration Date:	5/31/2016
Original Issue Date:	1/21/1966

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Bopp, Louis H - Preneed Agent Funeral Director

Bopp, Louis H - (Preneed Agent Funeral Director)

10610 Manchester Rd

Doing Business As :

Kirkwood, MO 63122

License# : 2010001627 - Issued on : 1/15/2010

Licensee Name:	Bopp, Louis H
Profession Name:	Preneed Agent Funeral Director
Address:	10610 Manchester Rd
Address Con't:
City, State Zip:	Kirkwood, MO 63122
County:	St. Louis County
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2010001627
Expiration Date:	11/30/2015
Original Issue Date:	1/15/2010

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Boos, William Joseph - Preneed Agent

Boos, William Joseph - (Preneed Agent)

1405 Cedar Ridge Circle

Doing Business As :

Raymore, MO 64083

License# : 2010010909 - Issued on : 4/5/2010

Licensee Name:	Boos, William Joseph
Profession Name:	Preneed Agent
Address:	1405 Cedar Ridge Circle
Address Con't:
City, State Zip:	Raymore, MO 64083
County:	Cass
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2010010909
Expiration Date:	11/30/2015
Original Issue Date:	4/5/2010

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Boomer, Catherine Anne - Preneed Agent Funeral Director

Boomer, Catherine Anne - (Preneed Agent Funeral Director)

4016 W 138th Street

Doing Business As :

Shawnee Mission, MO 66224

License# : 2013027225 - Issued on : 7/26/2013

Licensee Name:	Boomer, Catherine Anne
Profession Name:	Preneed Agent Funeral Director
Address:	4016 W 138th Street
Address Con't:
City, State Zip:	Shawnee Mission, KS 66224
County:	Unknown/Out of State
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2013027225
Expiration Date:	11/30/2015
Original Issue Date:	7/26/2013

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.

Boomer, Catherine A - Funeral Director

Boomer, Catherine A - (Funeral Director)

4016 W 138th St

Doing Business As :

Shawnee Mission, MO 66224

License# : 2007023519 - Issued on : 8/1/2007

Licensee Name:	Boomer, Catherine A
Profession Name:	Funeral Director
Address:	4016 W 138th St
Address Con't:
City, State Zip:	Shawnee Mission, KS 66224
County:	Unknown/Out of State
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2007023519
Expiration Date:	5/31/2016
Original Issue Date:	8/1/2007

Current Discipline Status: None

Copies of documents relating to disciplinary actions taken by the board from July 1, 2006 to present may be accessed on the board's website at http://pr.mo.gov/embalmers-discipline.asp.

For specifics relating to disciplinary actions taken by the board prior to July 1, 2006, please contact the board office.