HomeMy WebLinkAboutNail Specialist-Ying Xiong Permit 610225 12 08 17.SC.PDF
*Existing Facility?
2018610225
12082017
YingXiong
Ying Xiong
Artist's Name as it will appear on the permit:
2550StJamesChRd
NewtonNC28658
8284495530
Nail Specialist - Ying Xiong
1630TateBlvdSE
HickoryNC28602
Remaining
Characters
100
1
12082017
5-5 - Municipal/Community3-3 - Municipal/Community
01
18
1133
1711 - Carpenter, Scott
1200
EHS:
27 minutes
12082017
* Permit expires 12 months after this date
5
2
2
0
1
6
ID Number
8
1
0
ation Date
2
12/08/2018
12/08/2017
Tattoo Artist
By
Ying Xiong
y other person or place of practice.
Place of Practice
permit valid until
1630 TATE BLVD SE HICKORY, NC 28602
to engage in tattooing as defined in G.S. 130A-283
CountyExpir
This permit is not transferable to an
Catawba
Nail Specialist - Ying Xiong
Permission is hereby granted to
at