CHARLES J SHEPARD Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227009177

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

SHEPARD

Business Name

CHARLES J SHEPARD

Original Issue Date

03/31/2008

Effective Date

01/02/2009

Expiration Date

12/31/2010

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/18/2011