NICOLE ANNE LIST Marriage and Family Therapist License verification

Business Entity

NOT RENEWED

License Type

Marriage and Family Therapist

Description

ASSOCIATE LICENSED MARRIAGE AND FAMILY THERAPIST

License Number

208000318

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

ANNE

Last Name

LIST

Business Name

NICOLE ANNE LIST

Original Issue Date

08/02/2013

Effective Date

08/02/2013

Expiration Date

08/02/2018

City

MORO

State

Zip

62067

County

MADISON

Ever Disciplined

LastModifiedDate

12/04/2018