KIMBERLY KELLUM Cosmetologist License verification

Business Entity

NOT RENEWED

License Type

Cosmetologist

Description

LICENSED COSMETOLOGIST

License Number

011215644

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Last Name

KELLUM

Business Name

KIMBERLY KELLUM

Original Issue Date

12/09/1987

Effective Date

12/09/1987

Expiration Date

09/30/2005

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/26/2006

Case Number

2004003287

Action

Refuse To Renew

Discipline Start Date

11/29/2004

Discipline Reason

FAILED TO PROVIDE INFORMATION REQUESTED BY THE DEPARTMENT.