BENJAMIN J FORMAN Cosmetologist License verification

Business Entity

NOT RENEWED

License Type

Cosmetologist

Description

LICENSED COSMETOLOGIST

License Number

011304219

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

FORMAN

Business Name

BENJAMIN J FORMAN

Original Issue Date

12/19/2013

Effective Date

12/19/2013

Expiration Date

09/30/2015

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/03/2015