CARRIE ANN BASAK Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227004999

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

ANN

Last Name

BASAK

Business Name

CARRIE ANN BASAK

Original Issue Date

09/27/2005

Effective Date

12/30/2016

Expiration Date

12/31/2018

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

02/21/2019