DIANE JEAN CARROLL Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227000329

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

JEAN

Last Name

CARROLL

Business Name

DIANE JEAN CARROLL

Original Issue Date

12/09/2004

Effective Date

12/19/2018

Expiration Date

12/31/2020

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/11/2021