STACEY SHAW Cosmetologist License verification

Business Entity

NOT RENEWED

License Type

Cosmetologist

Description

LICENSED COSMETOLOGIST

License Number

011214292

License Status

NOT RENEWED

Business

First Name

STACEY

Last Name

SHAW

Business Name

STACEY SHAW

Original Issue Date

09/11/1987

Effective Date

09/11/1987

Expiration Date

09/30/2005

City

OBLONG

State

Zip

62449

County

CRAWFORD

Ever Disciplined

LastModifiedDate

05/26/2006

Case Number

2004003408

Action

Refuse To Renew

Discipline Start Date

11/30/2004

Discipline Reason

FAILED TO PROVIDE INFORMATION REQUESTED BY THE DEPARTMENT.