SAMMYLANE WIRTH PHD Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180000273

License Status

NOT RENEWED

Business

First Name

SAMMYLANE

Last Name

WIRTH

Suffix

PHD

Business Name

SAMMYLANE WIRTH PHD

Original Issue Date

04/03/1995

Effective Date

05/04/2005

Expiration Date

03/31/2005

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005