SAMANTHA L BROKAW Cosmetologist License verification

Business Entity

INACTIVE

License Type

Cosmetologist

Description

LICENSED COSMETOLOGIST

License Number

011284601

License Status

INACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

BROKAW

Business Name

SAMANTHA L BROKAW

Original Issue Date

02/27/2009

Effective Date

10/05/2009

Expiration Date

09/30/2011

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

07/07/2011