JUANA O BURCHELL Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180001779

License Status

NOT RENEWED

Business

First Name

JUANA O

Last Name

BURCHELL

Business Name

JUANA O BURCHELL

Original Issue Date

12/06/1996

Effective Date

05/04/2005

Expiration Date

03/31/2005

City

E. PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/11/2005