DIANE L BAZAN - Professional Counselor License in Illinois | # 180000742

DIANE L BAZAN

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180000742

License Status

INACTIVE

Business

N

First Name

DIANE L

Last Name

BAZAN

Business Name

DIANE L BAZAN

Original Issue Date

07/26/1995

Effective Date

04/10/2003

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005