JIMENA GABRIELA PRUDENCIO - Massage Therapist License in Illinois | # 227003312

JIMENA GABRIELA PRUDENCIO

Business Entity

INACTIVE

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227003312

License Status

INACTIVE

Business

N

First Name

JIMENA

Middle

GABRIELA

Last Name

PRUDENCIO

Business Name

JIMENA GABRIELA PRUDENCIO

Original Issue Date

03/18/2005

Effective Date

12/08/2010

Expiration Date

12/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

10/05/2012