ADRIENNE C PROVAX - Massage Therapist License in Illinois | # 227007026

ADRIENNE C PROVAX

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227007026

License Status

NOT RENEWED

Business

N

First Name

ADRIENNE

Middle

C

Last Name

PROVAX

Business Name

ADRIENNE C PROVAX

Original Issue Date

10/10/2006

Effective Date

12/30/2014

Expiration Date

12/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

02/17/2017