ANASTASIA MARIE THEISEN 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

208000517

License Status

NOT RENEWED

Business

First Name

ANASTASIA

Middle

MARIE

Last Name

THEISEN

Business Name

ANASTASIA MARIE THEISEN

Original Issue Date

07/14/2016

Effective Date

07/14/2016

Expiration Date

07/14/2021

City

ALTON

State

Zip

62002

County

JERSEY

Ever Disciplined

LastModifiedDate

02/15/2023