KIMBERLY A RUSSOM Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227010974

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

RUSSOM

Business Name

KIMBERLY A RUSSOM

Original Issue Date

09/24/2009

Effective Date

09/24/2009

Expiration Date

12/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

02/18/2011