TRACY LYNN DERICKSON Massage Therapist License verification

Business Entity

INACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227002944

License Status

INACTIVE

Business

First Name

TRACY

Middle

LYNN

Last Name

DERICKSON

Business Name

TRACY LYNN DERICKSON

Original Issue Date

03/02/2005

Effective Date

11/13/2008

Expiration Date

12/31/2010

City

GENOA CITY

State

Zip

53128

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/05/2010