JERRY E BLACKBURN Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227001109

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

BLACKBURN

Business Name

JERRY E BLACKBURN

Original Issue Date

12/22/2004

Effective Date

12/30/2022

Expiration Date

12/31/2024

City

SPIRIT LAKE

State

Zip

51360

County

IOWA

Ever Disciplined

LastModifiedDate

04/15/2025