VIVA RAE BLACK - Massage Therapist License in Illinois | # 227001628

VIVA RAE BLACK

Business Entity

INACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227001628

License Status

INACTIVE

Business

N

First Name

VIVA

Middle

RAE

Last Name

BLACK

Business Name

VIVA RAE BLACK

Original Issue Date

01/06/2005

Effective Date

01/01/2007

Expiration Date

12/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

10/02/2008