CARRIE ANN BASAK - Massage Therapist License in Illinois | # 227004999

CARRIE ANN BASAK

Business Entity

NOT RENEWED

License Type

Massage Therapist

Description

LICENSED MASSAGE THERAPIST

License Number

227004999

License Status

NOT RENEWED

Business

N

First Name

CARRIE

Middle

ANN

Last Name

BASAK

Business Name

CARRIE ANN BASAK

Original Issue Date

09/27/2005

Effective Date

12/30/2016

Expiration Date

12/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

02/21/2019