SANDRA R DERKS Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180004503

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

DERKS

Business Name

SANDRA R DERKS

Original Issue Date

06/12/2002

Effective Date

03/23/2015

Expiration Date

03/31/2017

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017