Indiana
Professional Licensing Agency
Loan Thi Phuong Kacak
Provisional Esthetician
License number
ESP1100001
Date granted
10/18/2011
Date expires
08/01/2015
Class
Provisional Esthetician
Status
Superceded
Address
Hammond IN 46323
indianalicensing.org
ID 4978908
LAST UPDATED 2024-03-14 02:35:08 UTC
LAST UPDATED 2024-03-14 02:35:08 UTC
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