KHAMPHAI KYLE BACCAM Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227004924

License Status

NOT RENEWED

Business

First Name

KHAMPHAI

Middle

KYLE

Last Name

BACCAM

Business Name

KHAMPHAI KYLE BACCAM

Original Issue Date

09/22/2005

Effective Date

12/31/2004

Expiration Date

12/31/2006

City

SCHAUMBURG

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

02/20/2007