ADDIE M BLACK Cosmetologist License verification

Business Entity

NOT RENEWED

License Type

Cosmetologist

Description

LICENSED COSMETOLOGIST

License Number

011148881

License Status

NOT RENEWED

Business

First Name

ADDIE M

Last Name

BLACK

Business Name

ADDIE M BLACK

Original Issue Date

09/02/1972

Effective Date

09/02/1972

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/26/2006