CHARLES A BURBANK Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180001062

License Status

INACTIVE

Business

First Name

CHARLES A

Last Name

BURBANK

Business Name

CHARLES A BURBANK

Original Issue Date

12/12/1995

Expiration Date

03/31/1997

City

LAND O LAKES

State

Zip

64540

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/05/2005