DIANE L BAZAN Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180000742

License Status

INACTIVE

Business

First Name

DIANE L

Last Name

BAZAN

Business Name

DIANE L BAZAN

Original Issue Date

07/26/1995

Effective Date

04/10/2003

Expiration Date

03/31/2003

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005