CAROLYN M ERICKSON Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180005161

License Status

INACTIVE

Business

First Name

CAROLYN

Middle

Last Name

ERICKSON

Business Name

CAROLYN M ERICKSON

Original Issue Date

12/18/2003

Effective Date

02/24/2005

Expiration Date

03/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/11/2005