TATUM M MILLER - Professional Counselor License in Idaho | # 180004798

TATUM M MILLER

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180004798

License Status

INACTIVE

Business

N

First Name

TATUM

Middle

M

Last Name

MILLER

Business Name

TATUM M MILLER

Original Issue Date

12/11/2002

Effective Date

04/01/2007

Expiration Date

03/31/2009

State

ID

Ever Disciplined

N

LastModifiedDate

01/06/2009