BURT EVERETT BOLT Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178002435

License Status

INACTIVE

Business

First Name

BURT

Middle

EVERETT

Last Name

BOLT

Business Name

BURT EVERETT BOLT

Original Issue Date

08/29/2002

Effective Date

02/09/2005

Expiration Date

03/31/2007

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/09/2007