Cosmetologist
LICENSED COSMETOLOGIST
011208821
INACTIVE
N
DIANE L
MALOTT
DIANE L MALOTT
08/21/1986
09/30/2005
09/30/2007
ELMWOOD
IL
61529
PEORIA
Y
07/10/2007
2004003160
Fine
11/12/2004
FALSIFIED RENEWAL APPLICATION REGARDING COMPLETION OF REQUIRED CONTINUING EDUCATION HOURS.