JACKIE LEE PHANAMATH Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227020038

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

LEE

Last Name

PHANAMATH

Business Name

JACKIE LEE PHANAMATH

Original Issue Date

09/13/2017

Effective Date

09/13/2017

Expiration Date

12/31/2018

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/21/2019