EUGENE S PETERSEN Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180001811

License Status

INACTIVE

Business

First Name

EUGENE S

Last Name

PETERSEN

Business Name

EUGENE S PETERSEN

Original Issue Date

12/06/1996

Effective Date

04/01/2007

Expiration Date

03/31/2009

City

LEXINGTON

State

Zip

61753

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/06/2009