MARY JANE MOOMAW Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

TEMPORARY LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

179000139

License Status

NOT RENEWED

Business

First Name

MARY JANE

Last Name

MOOMAW

Business Name

MARY JANE MOOMAW

Original Issue Date

06/29/1995

Expiration Date

09/05/1998

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/07/2005