SHIELLA DIANE FONSECA Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227001042

License Status

NOT RENEWED

Business

First Name

SHIELLA

Middle

DIANE

Last Name

FONSECA

Business Name

SHIELLA DIANE FONSECA

Original Issue Date

12/21/2004

Effective Date

10/11/2012

Expiration Date

12/31/2014

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

02/11/2015