License Number: MA90527

Data As Of 10/23/2021

Profession Massage Therapist
License MA90527
License Status Emerg. Restrict/ACTIVE
License Expiration Date 8/31/2023
License Original Issue Date 07/17/2018
Address of Record 8215 SW 152 AVENIDA
Building G 4th Floor Apt 412
MIAMI, FL 33193
Discipline on File No
Public Complaint Yes
Alerts Enforcement Alert
2/17/2021 10:41:48 AM
Emergency Restriction Order filed 02/17/2021.

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