License Number: MM34310

Data As Of 8/18/2018
Profession Massage Establishment
License MM34310
License Status CLEAR/
License Expiration Date 8/31/2019
License Original Issue Date 10/14/2015
Address of Record 5915 5915 4TH STREET NORTH
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) No
Discipline on File No
Public Complaint No

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