BARBARA M PROVO - Massage Therapist License in Illinois | # 227003839

BARBARA M PROVO

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227003839

License Status

NOT RENEWED

Business

N

First Name

BARBARA

Middle

M

Last Name

PROVO

Business Name

BARBARA M PROVO

Original Issue Date

05/10/2005

Effective Date

12/02/2008

Expiration Date

12/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

02/18/2011