SUSAN B WISNER Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180000254

License Status

INACTIVE

Business

First Name

SUSAN B

Last Name

WISNER

Business Name

SUSAN B WISNER

Original Issue Date

04/03/1995

Effective Date

04/01/2005

Expiration Date

03/31/2005

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005