JACKIE DEE GROM - Massage Therapist License in Illinois | # 227002228

JACKIE DEE GROM

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227002228

License Status

NOT RENEWED

Business

N

First Name

JACKIE

Middle

DEE

Last Name

GROM

Business Name

JACKIE DEE GROM

Original Issue Date

01/28/2005

Effective Date

11/26/2012

Expiration Date

12/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

02/11/2015