SAMMYLANE WIRTH PHD - Professional Counselor License in Illinois | # 180000273

SAMMYLANE WIRTH PHD

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180000273

License Status

NOT RENEWED

Business

N

First Name

SAMMYLANE

Last Name

WIRTH

Suffix

PHD

Business Name

SAMMYLANE WIRTH PHD

Original Issue Date

04/03/1995

Effective Date

05/04/2005

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005