DIANE MARIE KAVANAUGH-BLACK Massage Therapist License verification

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227002755

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

KAVANAUGH-BLACK

Business Name

DIANE MARIE KAVANAUGH-BLACK

Original Issue Date

02/22/2005

Effective Date

12/28/2010

Expiration Date

12/31/2012

City

TROY

State

Zip

12180

County

NEW YORK

Ever Disciplined

LastModifiedDate

02/21/2013