KRISTIN D WAGNER Professional Counselor License verification

Business Entity

ACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180004805

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

Last Name

WAGNER

Business Name

KRISTIN D WAGNER

Original Issue Date

12/11/2002

Effective Date

03/17/2025

Expiration Date

03/31/2027

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/17/2025