BETH ANN FORRISTALL Massage Therapist License verification

Business Entity

INACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227000404

License Status

INACTIVE

Business

First Name

BETH

Middle

ANN

Last Name

FORRISTALL

Business Name

BETH ANN FORRISTALL

Original Issue Date

12/13/2004

Effective Date

10/04/2006

Expiration Date

12/31/2008

City

STILLWATER

State

Zip

55082

County

MINNESOTA

Ever Disciplined

LastModifiedDate

10/17/2006