MARY MICHAELEENE KOZAK Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180004181

License Status

INACTIVE

Business

First Name

MARY

Middle

MICHAELEENE

Last Name

KOZAK

Business Name

MARY MICHAELEENE KOZAK

Original Issue Date

06/15/2001

Effective Date

03/27/2017

Expiration Date

03/31/2019

City

CHESTERTON

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

01/12/2019