BRIAN F HEATHERTON Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180000691

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

HEATHERTON

Business Name

BRIAN F HEATHERTON

Original Issue Date

07/13/1995

Effective Date

05/04/2005

Expiration Date

03/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005