Massage Therapist
LICENSED MASSAGE THERAPIST
227001499
NOT RENEWED
N
MARY
ELIZABETH
SMITH
MARY ELIZABETH SMITH
01/04/2005
01/01/2007
12/31/2008
STEELEVILLE
IL
62288
RANDOLPH
Y
12/22/2009
2009010365
Refuse To Renew
12/22/2009
for failure to report criminal arrest/conviction.