MACKENZIE WILD Marriage and Family Therapist License verification

Business Entity

ACTIVE

License Type

Marriage and Family Therapist

Description

ASSOCIATE LICENSED MARRIAGE AND FAMILY THERAPIST

License Number

208001025

License Status

ACTIVE

Business

First Name

MACKENZIE

Last Name

WILD

Business Name

MACKENZIE WILD

Original Issue Date

10/06/2022

Effective Date

10/06/2022

Expiration Date

10/06/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/06/2022