CAROLYN FAYE RISAVY Marriage and Family Therapist License verification

Business Entity

INACTIVE

License Type

Marriage and Family Therapist

Description

LICENSED MARRIAGE AND FAMILY THERAPIST

License Number

166000143

License Status

INACTIVE

Business

First Name

CAROLYN FAYE

Last Name

RISAVY

Business Name

CAROLYN FAYE RISAVY

Original Issue Date

08/05/1994

Effective Date

01/18/2005

Expiration Date

02/28/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005