MARY BETH ENSALACO Massage Therapist License verification

Business Entity

INACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227002449

License Status

INACTIVE

Business

First Name

MARY

Middle

BETH

Last Name

ENSALACO

Business Name

MARY BETH ENSALACO

Original Issue Date

02/08/2005

Effective Date

12/31/2004

Expiration Date

12/31/2006

City

FOND DU LAC

State

Zip

54935

Ever Disciplined

LastModifiedDate

10/04/2006