KELLY A CLARK Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227005719

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

CLARK

Business Name

KELLY A CLARK

Original Issue Date

12/06/2005

Effective Date

12/31/2004

Expiration Date

12/31/2006

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

02/20/2007