Diemer, Jason Jacob - Preneed Agent

Diemer, Jason Jacob - (Preneed Agent)

3506 N. National

Doing Business As :

Springfield, MO 65803

License# : 2014034043 - Issued on : 9/22/2014

Licensee Name:	Diemer, Jason Jacob
Profession Name:	Preneed Agent
Address:	3506 N. National
Address Con't:
City, State Zip:	Springfield, MO 65803
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2014034043
Expiration Date:	11/30/2015
Original Issue Date:	9/22/2014

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.

Diemer, Jacob H - Funeral Director

Diemer, Jacob H - (Funeral Director)

3506 North National

Doing Business As :

Springfield, MO 65803

License# : 004284 - Issued on : 9/13/1977

Licensee Name:	Diemer, Jacob H
Profession Name:	Funeral Director
Address:	3506 North National
Address Con't:
City, State Zip:	Springfield, MO 65803
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	004284
Expiration Date:	5/31/2016
Original Issue Date:	9/13/1977

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.

Day, Rhonda E - Funeral Director

Day, Rhonda E - (Funeral Director)

2160 S Celebration Avenue

Doing Business As :

Springfield, MO 65809

License# : 005162 - Issued on : 12/12/1983

Licensee Name:	Day, Rhonda E
Profession Name:	Funeral Director
Address:	2160 S Celebration Avenue
Address Con't:
City, State Zip:	Springfield, MO 65809
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	005162
Expiration Date:	5/31/2016
Original Issue Date:	12/12/1983

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.

Day, Rhonda E - Funeral Director

Day, Rhonda E - (Funeral Director)

2160 S Celebration Avenue

Doing Business As :

Springfield, MO 65809

License# : 005162 - Issued on : 12/12/1983

Licensee Name:	Day, Rhonda E
Profession Name:	Funeral Director
Address:	2160 S Celebration Avenue
Address Con't:
City, State Zip:	Springfield, MO 65809
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	005162
Expiration Date:	5/31/2016
Original Issue Date:	12/12/1983

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.

Cope, Richard D - Funeral Director

Cope, Richard D - (Funeral Director)

1945 South Link

Doing Business As :

Springfield, MO 65804

License# : 007297 - Issued on : 12/8/1998

Licensee Name:	Cope, Richard D
Profession Name:	Funeral Director
Address:	1945 South Link
Address Con't:
City, State Zip:	Springfield, MO 65804
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	007297
Expiration Date:	5/31/2016
Original Issue Date:	12/8/1998

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.

Cope, Lenora F - Funeral Director

Cope, Lenora F - (Funeral Director)

3850 East Farm Road 156

Doing Business As :

Springfield, MO 65809

License# : 007299 - Issued on : 12/8/1998

Licensee Name:	Cope, Lenora F
Profession Name:	Funeral Director
Address:	3850 East Farm Road 156
Address Con't:
City, State Zip:	Springfield, MO 65809
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	007299
Expiration Date:	5/31/2016
Original Issue Date:	12/8/1998

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.

Collins, Angela Nicole - Preneed Agent Funeral Director

Collins, Angela Nicole - (Preneed Agent Funeral Director)

2839 E. Portland

Doing Business As :

Springfield, MO 65804

License# : 2009039367 - Issued on : 12/29/2009

Licensee Name:	Collins, Angela Nicole
Profession Name:	Preneed Agent Funeral Director
Address:	2839 E. Portland
Address Con't:
City, State Zip:	Springfield, MO 65804
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2009039367
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.

Collins, Angela N - Embalmer

Collins, Angela N - (Embalmer)

2839 East Portland

Doing Business As :

Springfield, MO 65804

License# : 007455 - Issued on : 7/21/1999

Licensee Name:	Collins, Angela N
Profession Name:	Embalmer
Address:	2839 East Portland
Address Con't:
City, State Zip:	Springfield, MO 65804
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	007455
Expiration Date:	5/31/2016
Original Issue Date:	7/21/1999

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.

Collins, Angela N - Funeral Director

Collins, Angela N - (Funeral Director)

2839 East Portland

Doing Business As :

Springfield, MO 65804

License# : 007089 - Issued on : 8/9/1999

Licensee Name:	Collins, Angela N
Profession Name:	Funeral Director
Address:	2839 East Portland
Address Con't:
City, State Zip:	Springfield, MO 65804
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	007089
Expiration Date:	5/31/2016
Original Issue Date:	8/9/1999

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.

Champ, Joel Thomas - Preneed Agent Funeral Director

Champ, Joel Thomas - (Preneed Agent Funeral Director)

4389 S Hemlock Ave

Doing Business As :

Springfield, MO 65810

License# : 2010002082 - Issued on : 1/21/2010

Licensee Name:	Champ, Joel Thomas
Profession Name:	Preneed Agent Funeral Director
Address:	4389 S Hemlock Ave
Address Con't:
City, State Zip:	Springfield, MO 65810
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2010002082
Expiration Date:	11/30/2015
Original Issue Date:	1/21/2010

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.

Champ, Joel T - Funeral Director

Champ, Joel T - (Funeral Director)

500 E Walnut St

Doing Business As :

Springfield, MO 65806

License# : 2006023943 - Issued on : 8/7/2006

Licensee Name:	Champ, Joel T
Profession Name:	Funeral Director
Address:	500 E Walnut St
Address Con't:
City, State Zip:	Springfield, MO 65806
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2006023943
Expiration Date:	5/31/2016
Original Issue Date:	8/7/2006

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.

Burke, Cory Franklin - Preneed Agent

Burke, Cory Franklin - (Preneed Agent)

2210 S Catalina Ave

Doing Business As :

Springfield, MO 65804

License# : 2011036480 - Issued on : 10/31/2011

Licensee Name:	Burke, Cory Franklin
Profession Name:	Preneed Agent
Address:	2210 S Catalina Ave
Address Con't:
City, State Zip:	Springfield, MO 65804
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2011036480
Expiration Date:	11/30/2015
Original Issue Date:	10/31/2011

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.

Brown, David Jerome - Preneed Agent Funeral Director

Brown, David Jerome - (Preneed Agent Funeral Director)

1200 N Clay

Doing Business As :

Springfield, MO 65802

License# : 2010018273 - Issued on : 6/11/2010

Licensee Name:	Brown, David Jerome
Profession Name:	Preneed Agent Funeral Director
Address:	1200 N Clay
Address Con't:
City, State Zip:	Springfield, MO 65802
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2010018273
Expiration Date:	11/30/2015
Original Issue Date:	6/11/2010

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.

Brown, David J - Funeral Director

Brown, David J - (Funeral Director)

1200 North Clay

Doing Business As :

Springfield, MO 65802

License# : 005877 - Issued on : 8/8/1988

Licensee Name:	Brown, David J
Profession Name:	Funeral Director
Address:	1200 North Clay
Address Con't:
City, State Zip:	Springfield, MO 65802
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	005877
Expiration Date:	5/31/2016
Original Issue Date:	8/8/1988

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.

Bradford, Robert B - Funeral Director

Bradford, Robert B - (Funeral Director)

1036 East Mentor Street

Doing Business As :

Springfield, MO 65810

License# : 006735 - Issued on : 12/22/1993

Licensee Name:	Bradford, Robert B
Profession Name:	Funeral Director
Address:	1036 East Mentor Street
Address Con't:
City, State Zip:	Springfield, MO 65810
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	006735
Expiration Date:	5/31/2016
Original Issue Date:	12/22/1993

 

Discipline:	Probation
Start Date:	1/22/2013
End Date:	1/21/2015
Conditions:	Bradford holds funeral director license number 006735 that was and is current and active at all times relevant to this matter. Conduct Giving Cause for Discipline Bradford submitted his "Application to Renew Funeral Director June 1, 2012 - May 31, 2014" to the Board that he indicated that he signed on May 15, 2012 (the "2012 Funeral Director Renewal"). Bradford answered "yes" to questions 6, 7, and 8 on the 2012 Funeral Director Renewal that asked the following: Since your last renewal, have you ever been arrested, charged with of any violation of any federal, state or municipal law, ordinance or rule whether or not sentence was imposed (includes suspended imposition of sentence (SIS)). If yes, explain fully in a statement and provide certified court documents (ie: Docket Sheet, Information or Indictment and Final Disposition). Since your last renewal have you ever been addicted to or used in excess any controlled substance (including illegal drugs and prescription drugs) or alcoholic beverage? Are you now being treated, or have you been treated within the past five years, through a drug and/or alcohol rehabilitation program? If yes, attach a full explanation and provide discharge summary or other official documentation that shows your diagnosis, prognosis and treatment plan. Bradford supplemented his answers by disclosing that he had been "arrested for D.U.I. after 3 drinks at a lodge & going through a checkpoint. Released after 4 hours." And "DUI in May of 2010 - Court date August 2010" and "Attended Manditory (sic) Alcohol Program." Criminal Charges On August 24, 2010, Bradford plead guilty to a Misdemeanor B of "DWI - Alcohol" in violation of Section 577.010, RSMo. The Court imposed the sentence of Incarceration and suspended execution of sentence and ordered Bradford to serve 90 days in the Greene County Jail followed by 2 years unsupervised probation beginning on August 24, 2010 and a fine of $350.00. State v. Robert B. Bradford, Case number 1031-CR04213, Greene County, Missouri. Causes for Discipline A funeral director operates a motor vehicle as part of his job duties to provide transportation for decedents and their families. The excessive use of alcohol impairs this ability. The excessive use of alcohol impairs a licensee's ability to perform the work of a funeral director. Bradford reported his DUI to the Board on his annual renewal, but did not report it within 30 days of his adjudication as required by 20 CSR 2120-2.060(28). There is cause to discipline the funeral director license held by Bradford pursuant to Section 333.330.2(1), (2), and (6), RSMo.

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.

Bodenhamer, Jennifer - Funeral Director

Bodenhamer, Jennifer - (Funeral Director)

4568 S Winsor

Doing Business As :

Springfield, MO 65810

License# : 2001033343 - Issued on : 12/31/2001

Licensee Name:	Bodenhamer, Jennifer
Profession Name:	Funeral Director
Address:	4568 S Winsor
Address Con't:
City, State Zip:	Springfield, MO 65810
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2001033343
Expiration Date:	5/31/2016
Original Issue Date:	12/31/2001

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.

Blackwell, Melissa Renee - Preneed Agent Funeral Director

Blackwell, Melissa Renee - (Preneed Agent Funeral Director)

1407 W. Glenwood Street

Doing Business As :

Springfield, MO 65807

License# : 2010026759 - Issued on : 8/2/2010

Licensee Name:	Blackwell, Melissa Renee
Profession Name:	Preneed Agent Funeral Director
Address:	1407 W. Glenwood Street
Address Con't:
City, State Zip:	Springfield, MO 65807
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2010026759
Expiration Date:	11/30/2015
Original Issue Date:	8/2/2010

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.

Blackwell, Melissa R - Funeral Director

Blackwell, Melissa R - (Funeral Director)

1407 W Glenwood St

Doing Business As :

Springfield, MO 65807

License# : 2010025558 - Issued on : 7/22/2010

Licensee Name:	Blackwell, Melissa R
Profession Name:	Funeral Director
Address:	1407 W Glenwood St
Address Con't:
City, State Zip:	Springfield, MO 65807
County:	Greene
Practitioner DBA Name:
Certification Type:
Classification:
Licensee Number:	2010025558
Expiration Date:	5/31/2016
Original Issue Date:	7/22/2010

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.