EVELYN A FORNEK - Massage Therapist License in Illinois | # 227000701

EVELYN A FORNEK

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227000701

License Status

NOT RENEWED

Business

N

First Name

EVELYN

Middle

A

Last Name

FORNEK

Business Name

EVELYN A FORNEK

Original Issue Date

12/17/2004

Effective Date

11/16/2010

Expiration Date

12/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

02/21/2013