PHYLLIS A MODRAK - Cosmetologist License in Indiana | # 011202202

PHYLLIS A MODRAK

Business Entity

NOT RENEWED

License Type

Cosmetologist

Description

LICENSED COSMETOLOGIST

License Number

011202202

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS A

Last Name

MODRAK

Business Name

PHYLLIS A MODRAK

Original Issue Date

05/01/1985

Effective Date

05/01/1985

Expiration Date

09/30/1989

State

IN

Ever Disciplined

N

LastModifiedDate

05/26/2006