PAMELA S ANDERSON Cosmetologist License verification

Business Entity

NOT RENEWED

License Type

Cosmetologist

Description

LICENSED COSMETOLOGIST

License Number

011193092

License Status

NOT RENEWED

Business

First Name

PAMELA S

Last Name

ANDERSON

Business Name

PAMELA S ANDERSON

Original Issue Date

10/04/1983

Effective Date

10/04/1983

Expiration Date

09/30/2005

City

SAINT JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

05/26/2006

Case Number

2004003048

Action

Refuse To Renew

Discipline Start Date

12/07/2004

Discipline Reason

FAILED TO PROVIDE INFORMATION REQUESTED BY IDFPR.