Massage Therapist
LICENSED MASSAGE THERAPIST
227003420
NOT RENEWED
N
JUDITH
K
LYNCH
JUDITH K LYNCH
03/29/2005
12/31/2004
12/31/2006
EAST ALTON
IL
62024
MADISON
Y
05/19/2011
2009011905
Refuse To Renew
05/19/2011
for failure to provide information within 60 days pursuant to a Department written request.