PAPHATPORN BOOTHCHA LANE - Massage Therapist License in Illinois | # 227023383

PAPHATPORN BOOTHCHA LANE

Business Entity

ACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227023383

License Status

ACTIVE

Business

N

First Name

PAPHATPORN

Middle

BOOTHCHA

Last Name

LANE

Business Name

PAPHATPORN BOOTHCHA LANE

Original Issue Date

01/18/2024

Effective Date

10/27/2024

Expiration Date

12/31/2026

City

CHICAGO

State

IL

Zip

60630

County

COOK

Ever Disciplined

N

LastModifiedDate

10/27/2024