Lookup Detail View

Licensee Information
This serves as primary source verification* of the license.
*Primary source verification: License information provided by the Colorado Division of Professions and Occupations, established by 24-34-102 C.R.S.
NamePublic Address
Tara ShumateLakewood, CO 80228-2937

Credential Information
License NumberLicense MethodLicense TypeLicense StatusOriginal Issue DateEffective DateExpiration Date
MT.0018868ExaminationMassage TherapistExpired04/19/201601/01/202112/31/2022

Board/Program Actions
Discipline
There is no Discipline or Board Actions on file for this credential.

Generated on:  3/30/2023 6:41:10 PM