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
Brian Otto KimmelBoulder, CO 80302

Credential Information
License NumberLicense MethodLicense TypeLicense StatusOriginal Issue DateEffective DateExpiration Date
MT.0008299OriginalMassage TherapistActive08/05/200901/01/201712/31/2018

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

Generated on:  8/20/2017 3:07:54 PM