DOROTHA KAY JACKSON Massage Therapist License verification

Business Entity

INACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227004985

License Status

INACTIVE

Business

First Name

DOROTHA

Middle

KAY

Last Name

JACKSON

Business Name

DOROTHA KAY JACKSON

Original Issue Date

09/26/2005

Effective Date

12/10/2008

Expiration Date

12/31/2010

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/05/2010