KEITH RONALD BALLANTINE Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227005267

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

RONALD

Last Name

BALLANTINE

Business Name

KEITH RONALD BALLANTINE

Original Issue Date

11/02/2005

Effective Date

12/21/2016

Expiration Date

12/31/2018

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

02/21/2019