ANNETTE M MANDEVILLE Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178003543

License Status

NOT RENEWED

Business

First Name

ANNETTE

Middle

Last Name

MANDEVILLE

Business Name

ANNETTE M MANDEVILLE

Original Issue Date

12/10/2004

Effective Date

03/24/2005

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62704

Ever Disciplined

LastModifiedDate

05/14/2007