KARYN BETH FORMAN Massage Therapist License verification

Business Entity

INACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227002844

License Status

INACTIVE

Business

First Name

KARYN

Middle

BETH

Last Name

FORMAN

Business Name

KARYN BETH FORMAN

Original Issue Date

02/25/2005

Effective Date

11/10/2010

Expiration Date

12/31/2012

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/05/2012