License Number: MA88067

Data As Of 5/23/2024

Profession Massage Therapist
License MA88067
License Status REVOKED/
License Expiration Date 8/31/2019
License Original Issue Date 10/13/2017
Address of Record If further information is needed, please contact the Department of Health at (850) 488-0595.
Discipline on File Yes
Public Complaint Yes

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