KATHRYN ANNE MARIE PROVENZANO Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178002415

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

ANNE MARIE

Last Name

PROVENZANO

Business Name

KATHRYN ANNE MARIE PROVENZANO

Original Issue Date

08/01/2002

Effective Date

05/04/2005

Expiration Date

03/31/2005

City

WABENO

State

Zip

54566

Ever Disciplined

LastModifiedDate

09/11/2005