LILLIAN ORTIZ SELF Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180001617

License Status

NOT RENEWED

Business

First Name

LILLIAN

Last Name

ORTIZ SELF

Business Name

LILLIAN ORTIZ SELF

Original Issue Date

12/06/1996

Effective Date

05/14/2003

Expiration Date

03/31/2003

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005