IVY J MEDINA Massage Therapist License verification

Business Entity

INACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227008334

License Status

INACTIVE

Business

First Name

IVY

Middle

Last Name

MEDINA

Business Name

IVY J MEDINA

Original Issue Date

09/17/2007

Effective Date

01/04/2021

Expiration Date

12/31/2022

City

LASALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/01/2023