THERESA M MOULTON Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227013352

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

MOULTON

Business Name

THERESA M MOULTON

Original Issue Date

09/13/2011

Effective Date

12/26/2012

Expiration Date

12/31/2014

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

02/11/2015

Case Number

2011001001

Action

Reprimand

Discipline Start Date

09/09/2011

Discipline Reason

for failure to disclose a criminal conviction.