The holder whose full name is BLACK, MAXINE,come from MONROE CITY IN,hold the Cosmetologist license(NO.MC01205885) which status is Expired.
| Name | BLACK, MAXINE |
|---|---|
| License Number | MC01205885 |
| License Type | Cosmetologist |
| License Status | Expired |
| City | MONROE CITY |
| State | IN |