CHARLAINE R SHACK Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180000561

License Status

NOT RENEWED

Business

First Name

CHARLAINE R

Last Name

SHACK

Business Name

CHARLAINE R SHACK

Original Issue Date

06/22/1995

Effective Date

05/03/2001

Expiration Date

03/31/2001

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005