NANCY L A FORTH Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178003877

License Status

INACTIVE

Business

First Name

NANCY

Middle

L A

Last Name

FORTH

Business Name

NANCY L A FORTH

Original Issue Date

07/22/2005

Effective Date

03/03/2009

Expiration Date

03/31/2011

City

WARRENSBURG

State

Zip

64093

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/05/2011