SUZANNE ELIZABETH BLACK Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227007775

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

ELIZABETH

Last Name

BLACK

Business Name

SUZANNE ELIZABETH BLACK

Original Issue Date

04/26/2007

Effective Date

01/03/2013

Expiration Date

12/31/2014

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

02/11/2015