PHILIP C TRUCKENBROD Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180001448

License Status

INACTIVE

Business

First Name

PHILIP C

Last Name

TRUCKENBROD

Business Name

PHILIP C TRUCKENBROD

Original Issue Date

06/12/1996

Effective Date

01/28/2005

Expiration Date

03/31/2007

City

YELLVILLE

State

Zip

72687

County

ARKANSAS

Ever Disciplined

LastModifiedDate

01/09/2007