SOMPHAT PHONGSAVATH Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227004922

License Status

NOT RENEWED

Business

First Name

SOMPHAT

Last Name

PHONGSAVATH

Business Name

SOMPHAT PHONGSAVATH

Original Issue Date

09/22/2005

Effective Date

01/01/2007

Expiration Date

12/31/2008

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

02/11/2009