SAMMYLANE WIRTH PHD Marriage and Family Therapist License verification

Business Entity

NOT RENEWED

License Type

Marriage and Family Therapist

Description

LICENSED MARRIAGE AND FAMILY THERAPIST

License Number

166000109

License Status

NOT RENEWED

Business

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

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005