SAMMYLANE WIRTH PHD - Marriage and Family Therapist License in Illinois | # 166000109

SAMMYLANE WIRTH PHD

Business Entity

NOT RENEWED

License Type

Marriage and Family Therapist

Description

LICENSED MARRIAGE AND FAMILY THERAPIST

License Number

166000109

License Status

NOT RENEWED

Business

N

First Name

SAMMYLANE

Last Name

WIRTH

Suffix

PHD

Business Name

SAMMYLANE WIRTH PHD

Original Issue Date

07/28/1994

Effective Date

04/04/2005

Expiration Date

02/28/2005

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005