LACY SUZANNE RUSSELL Massage Therapist License verification

Business Entity

INACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227005133

License Status

INACTIVE

Business

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

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/05/2012