SCOTT GOULD KINGPHAVONG Massage Therapist License verification

Business Entity

ACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227014953

License Status

ACTIVE

Business

First Name

SCOTT

Middle

GOULD

Last Name

KINGPHAVONG

Business Name

SCOTT GOULD KINGPHAVONG

Original Issue Date

10/23/2012

Effective Date

11/17/2024

Expiration Date

12/31/2026

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/17/2024