JACK J TANNER Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180000196

License Status

INACTIVE

Business

First Name

JACK J

Last Name

TANNER

Business Name

JACK J TANNER

Original Issue Date

04/01/1995

Effective Date

02/24/2005

Expiration Date

03/31/2005

City

GOLD CANYON

State

Zip

85219

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/11/2005