SANDRA ILENE SLACK Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227002307

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

ILENE

Last Name

SLACK

Business Name

SANDRA ILENE SLACK

Original Issue Date

02/02/2005

Effective Date

12/31/2020

Expiration Date

12/31/2022

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

03/31/2023