ANA CAROLINA RICHTER DA FONSECA BALTHAZAR Marriage and Family Therapist License verification

Business Entity

ACTIVE

License Type

Marriage and Family Therapist

Description

ASSOCIATE LICENSED MARRIAGE AND FAMILY THERAPIST

License Number

208001241

License Status

ACTIVE

Business

First Name

ANA

Middle

CAROLINA

Last Name

RICHTER DA FONSECA BALTHAZAR

Business Name

ANA CAROLINA RICHTER DA FONSECA BALTHAZAR

Original Issue Date

10/24/2024

Effective Date

10/24/2024

Expiration Date

10/24/2029

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

01/07/2025