KEITH ROBERT SURMAN Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227002660

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

ROBERT

Last Name

SURMAN

Business Name

KEITH ROBERT SURMAN

Original Issue Date

02/18/2005

Effective Date

01/02/2009

Expiration Date

12/31/2010

City

HERRIN

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

02/18/2011