SUSAN LEE POTTHAST - Massage Therapist License in Illinois | # 227004545

SUSAN LEE POTTHAST

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227004545

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

LEE

Last Name

POTTHAST

Business Name

SUSAN LEE POTTHAST

Original Issue Date

07/22/2005

Effective Date

01/02/2019

Expiration Date

12/31/2020

State

IL

Ever Disciplined

N

LastModifiedDate

03/11/2021