Cosmetologist
LICENSED COSMETOLOGIST
011171627
NOT RENEWED
N
MARCENA M
BURTLE
MARCENA M BURTLE
10/17/1978
10/01/2015
09/30/2017
VIRDEN
IL
62690
MACOUPIN
Y
11/01/2017
2004003070
Fine
12/14/2004
FAILED TO PROVIDE REQUESTED INFORMATION TO IDFPR IN A TIMELY MANNER.