LACY SUZANNE RUSSELL - Massage Therapist License in Illinois | # 227005133

LACY SUZANNE RUSSELL

Business Entity

INACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227005133

License Status

INACTIVE

Business

N

First Name

LACY

Middle

SUZANNE

Last Name

RUSSELL

Business Name

LACY SUZANNE RUSSELL

Original Issue Date

10/07/2005

Effective Date

04/21/2011

Expiration Date

12/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

10/05/2012