BRIAN R BLACK Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227008650

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

BLACK

Business Name

BRIAN R BLACK

Original Issue Date

11/14/2007

Effective Date

12/05/2014

Expiration Date

12/31/2016

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

02/17/2017