Cosmetologist
LICENSED COSMETOLOGIST
011157341
NOT RENEWED
N
ANNA
BURKHART
ANNA BURKHART
08/22/1974
09/28/2015
09/30/2017
IL
Y
11/01/2017
2004003069
Fine
11/09/2004
FAILED TO PROVIDE REQUESTED INFORMATION TO THE DEPARTMENT IN A TIMELY MANNER.