Document Number: 0405240
Type: Appointment
Description: LICENSED ALCOHOL AND DRUG COUNSELOR MEMBER, BOARD OF BEHAVIORAL HEALTH AND THERAPY, EFF 6/14/2004, EXP 1/3/2005
Date on Document: Jun 07 2004
Filing Organization:
Signer:
Term Start Date - Term End Date:
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Entered By: PHASE II IMPORT
Status Change Date: Dec 15 2014