DIANE M GOSSARD Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227011017

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

GOSSARD

Business Name

DIANE M GOSSARD

Original Issue Date

10/09/2009

Effective Date

12/27/2010

Expiration Date

12/31/2012

City

COTTAGE HILLS

State

Zip

62018

County

MADISON

Ever Disciplined

LastModifiedDate

02/21/2013