DOROTHY L WAGNER Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180003525

License Status

NOT RENEWED

Business

First Name

DOROTHY

Middle

Last Name

WAGNER

Business Name

DOROTHY L WAGNER

Original Issue Date

06/17/1999

Effective Date

05/04/2005

Expiration Date

03/31/2005

City

NEWTON

State

Zip

62448

County

JASPER

Ever Disciplined

LastModifiedDate

09/11/2005