Cosmetologist
LICENSED COSMETOLOGIST
011198881
NOT RENEWED
N
MARK A
JACOBS
MARK A JACOBS
10/12/1984
10/12/1984
09/30/1997
ROCKFORD
IL
61114
WINNEBAGO
Y
05/26/2006
1996001854
Fine
07/12/1996
Failed to submit sufficient proof of continuing education hours during a Department audit.