BRADLEY J PROVINES Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180002729

License Status

NOT RENEWED

Business

First Name

BRADLEY J

Last Name

PROVINES

Business Name

BRADLEY J PROVINES

Original Issue Date

07/23/1998

Effective Date

04/28/1999

Expiration Date

03/31/1999

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

09/05/2005