LEE ANN DECLERCK Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227002839

License Status

NOT RENEWED

Business

First Name

LEE ANN

Last Name

DECLERCK

Business Name

LEE ANN DECLERCK

Original Issue Date

02/25/2005

Effective Date

12/01/2016

Expiration Date

12/31/2018

City

PANA

State

Zip

62557

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

02/21/2019