BYRON MARK FORD Massage Therapist License verification

Business Entity

INACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227003584

License Status

INACTIVE

Business

First Name

BYRON

Middle

MARK

Last Name

FORD

Business Name

BYRON MARK FORD

Original Issue Date

04/14/2005

Effective Date

11/29/2010

Expiration Date

12/31/2012

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/05/2012