BRANDY L FREDERIKSEN Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178003343

License Status

INACTIVE

Business

First Name

BRANDY

Middle

Last Name

FREDERIKSEN

Business Name

BRANDY L FREDERIKSEN

Original Issue Date

06/14/2004

Effective Date

03/28/2005

Expiration Date

03/31/2005

City

MIDDLE ISLAND

State

Zip

11953

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/11/2005