JACKIE ELAINE FORCUM Cosmetologist License verification

Business Entity

INACTIVE

License Type

Cosmetologist

Description

LICENSED COSMETOLOGIST

License Number

011145310

License Status

INACTIVE

Business

First Name

JACKIE ELAINE

Last Name

FORCUM

Business Name

JACKIE ELAINE FORCUM

Original Issue Date

01/01/1998

Effective Date

07/19/2015

Expiration Date

09/30/2017

City

MODE

State

Zip

62444

County

SHELBY

Ever Disciplined

LastModifiedDate

07/07/2017