KATHRYN MARY SAMPLE Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180007627

License Status

INACTIVE

Business

First Name

KATHRYN

Middle

MARY

Last Name

SAMPLE

Business Name

KATHRYN MARY SAMPLE

Original Issue Date

10/19/2010

Effective Date

03/18/2013

Expiration Date

03/31/2015

City

EAU CLAIRE

State

Zip

54701

Ever Disciplined

LastModifiedDate

01/06/2015