AUTUMN A ANDERSON Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227004650

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

Last Name

ANDERSON

Business Name

AUTUMN A ANDERSON

Original Issue Date

08/08/2005

Effective Date

12/31/2004

Expiration Date

12/31/2006

City

GERMAN VALLEY

State

Zip

61039

County

STEPHENSON

Ever Disciplined

LastModifiedDate

02/20/2007