STEPHANIE DIANNE GUSTAVE Marriage and Family Therapist License verification

Business Entity

NOT RENEWED

License Type

Marriage and Family Therapist

Description

LICENSED MARRIAGE AND FAMILY THERAPIST

License Number

166000778

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

DIANNE

Last Name

GUSTAVE

Business Name

STEPHANIE DIANNE GUSTAVE

Original Issue Date

10/29/2009

Effective Date

04/24/2013

Expiration Date

02/28/2015

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

04/13/2015