KRISTA L BURRELL Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178002262

License Status

NOT RENEWED

Business

First Name

KRISTA

Middle

Last Name

BURRELL

Business Name

KRISTA L BURRELL

Original Issue Date

06/12/2002

Effective Date

05/04/2005

Expiration Date

03/31/2005

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/11/2005