Cosmetologist
LICENSED COSMETOLOGIST
011199121
NOT RENEWED
N
KATRINA R
WELLBAUM
KATRINA R WELLBAUM
10/25/1984
09/30/2019
01/31/2022
IA
Y
05/09/2022
2004003473
Fine
11/18/2004
FALSIFIED RENEWAL APPLICATION REGARDING COMPLETION OF REQUIRED CONTINUING EDUCATION HOURS.