MASAFUMI F NAKATA Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180005039

License Status

INACTIVE

Business

First Name

MASAFUMI

Middle

Last Name

NAKATA

Business Name

MASAFUMI F NAKATA

Original Issue Date

06/03/2003

Effective Date

04/01/2005

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005