COLEEN M MOORE Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178000821

License Status

NOT RENEWED

Business

First Name

COLEEN

Middle

Last Name

MOORE

Business Name

COLEEN M MOORE

Original Issue Date

12/10/1998

Effective Date

06/04/2004

Expiration Date

03/31/2003

City

BLOOMINGTON

State

Zip

61705

Ever Disciplined

LastModifiedDate

09/11/2005