Laserfiche WebLink
..................................................................................................................................................................................., <br /> Dep��ht of En s esources <br /> 3800 Cornucopia Way,s58-9,492 Phone <br /> of x 209.525.6774 <br /> tx a eonmental-health <br /> REGISTRATION NUMBER: 2016-108 <br /> PRACTITIONER: ANtRONY.MARIN <br /> BODY ART FACILITY: INK DISCIPLES <br /> ADDRESS: 332,8 McHENRY AVE <br /> 3IVIdDESTO, CA 95350 <br /> REGISTRATION<EXPIRES: 7I1I2019 <br /> PRACTITIONER REGISTERED TO PERFORM THE FOLLOWING BODY ART: <br /> ❑ TATTOOING ❑O ,BODY PIERCING ❑ PERMANENT COSMETICS <br /> ❑ BRANDING <br /> This registration musfbe displayed in a place'readily visible to the public where you are performing <br /> Body Art. A valid ands,urrent certificate of registration issued,by this Department shall be valid in any <br /> other jurisdiction for no mere that 5 consecutive days or 15 days total,'in any one calendar year. <br /> Practitioner registration shall be renewed annually., This registration may be suspended or revoked by <br /> the Department for cause.= i <br /> Approved b <br /> pp y: •-MAMLe.VV�- '�-�"� MAUREEN'HERNAEZT-- E.H.S: Date: 01/04/2019 <br />