PHYLLIS BERNADIN CROCKETT Cosmetologist License verification

Business Entity

INACTIVE

License Type

Cosmetologist

Description

LICENSED COSMETOLOGIST

License Number

011087549

License Status

INACTIVE

Business

First Name

PHYLLIS BERNADIN

Last Name

CROCKETT

Business Name

PHYLLIS BERNADIN CROCKETT

Original Issue Date

01/01/1998

Expiration Date

09/30/1987

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/26/2006