JACKIE DEE GROM Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227002228

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

02/11/2015