KELLY M STORIE Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180004219

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

STORIE

Business Name

KELLY M STORIE

Original Issue Date

06/15/2001

Effective Date

02/15/2005

Expiration Date

03/31/2007

City

PEORIA

State

Zip

85345

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/09/2007