IAN MATTHEW WALLACE Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227003634

License Status

NOT RENEWED

Business

First Name

IAN

Middle

MATTHEW

Last Name

WALLACE

Business Name

IAN MATTHEW WALLACE

Original Issue Date

04/18/2005

Effective Date

05/15/2013

Expiration Date

12/31/2014

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

02/11/2015