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Get Lead Id Number L- Lead Id Number Hde- Illinois Department ... - Idph State Il

W. Jefferson St., 3rd Floor, Springfield, IL 62761 LEAD WORKER APPLICATION Applicants requesting an initial or the renewal of an existing Lead Worker license shall pay an annual fee of $50.00. Make remittances payable to Illinois Department of Public Health. Must be at least 18 years of age. *All Fees Are Nonrefundable* Applicant s Legal Information Last Name: First Name: MI: Street Address: Social Security Number: City: State: Phone: Date of Birth (mm/dd/yyyy): Zip Code: County: I.

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