License Number: MA95141

Data As Of 10/23/2021

Profession Massage Therapist
License MA95141
License Status DELINQUENT/
License Expiration Date 8/31/2021
License Original Issue Date 06/19/2020
Address of Record 2370 Nw 17th AVE
Apt# 810
MIAMI, FL 33142
Discipline on File No
Public Complaint Yes
Alerts Enforcement Alert
8/4/2021 9:48:35 AM
Emergency Restriction Order filed 03/22/2021......Voluntary Relinquishment Pending Board Action filed 08/04/2021.

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