CARL B BLACK Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227001049

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

BLACK

Business Name

CARL B BLACK

Original Issue Date

12/21/2004

Effective Date

12/13/2012

Expiration Date

12/31/2014

City

SHUMWAY

State

Zip

62461

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

02/11/2015