PATRICIA LEE PROVIN Massage Therapist License verification

Business Entity

ACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227002305

License Status

ACTIVE

Business

First Name

PATRICIA

Middle

LEE

Last Name

PROVIN

Business Name

PATRICIA LEE PROVIN

Original Issue Date

02/02/2005

Effective Date

12/21/2024

Expiration Date

12/31/2026

City

GIBSON CITY

State

Zip

60936

County

FORD

Ever Disciplined

LastModifiedDate

12/21/2024