ROBERT MICHAEL GOLLENBERG Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180007248

License Status

INACTIVE

Business

First Name

ROBERT

Middle

MICHAEL

Last Name

GOLLENBERG

Business Name

ROBERT MICHAEL GOLLENBERG

Original Issue Date

06/09/2009

Effective Date

01/22/2013

Expiration Date

03/31/2015

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Ever Disciplined

LastModifiedDate

01/06/2015