PHYLLIS A MODRAK Cosmetologist License verification

Business Entity

NOT RENEWED

License Type

Cosmetologist

Description

LICENSED COSMETOLOGIST

License Number

011202202

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

MODRAK

Business Name

PHYLLIS A MODRAK

Original Issue Date

05/01/1985

Effective Date

05/01/1985

Expiration Date

09/30/1989

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

05/26/2006