SHANE BREANNA NOWAK Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227011314

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

BREANNA

Last Name

NOWAK

Business Name

SHANE BREANNA NOWAK

Original Issue Date

12/23/2009

Effective Date

12/23/2009

Expiration Date

12/31/2010

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

02/18/2011