SHIRLEY A MILES-GENAME Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180002183

License Status

INACTIVE

Business

First Name

SHIRLEY A

Last Name

MILES-GENAME

Business Name

SHIRLEY A MILES-GENAME

Original Issue Date

10/14/1997

Effective Date

01/26/2011

Expiration Date

03/31/2013

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/03/2013