MIA DIANE GROTH - Cosmetologist License in Idaho | # 011159184

MIA DIANE GROTH

Business Entity

NOT RENEWED

License Type

Cosmetologist

Description

LICENSED COSMETOLOGIST

License Number

011159184

License Status

NOT RENEWED

Business

N

First Name

MIA

Middle

DIANE

Last Name

GROTH

Business Name

MIA DIANE GROTH

Original Issue Date

04/30/1975

Effective Date

09/30/2005

Expiration Date

09/30/2007

State

ID

Ever Disciplined

N

LastModifiedDate

11/02/2007