Costa D Provis
ActiveIllinois license 180005903
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 180005903
- Status
- Active
- First issued
- June 14, 2005
- Expires
- March 31, 2027
- License holder
- Costa D Provis
- Entity type
- Individual
Classifications
- Licensed Clinical Professional Counselor Mental Health & Counseling
More from the license record
- Current term began
- 01/09/2025
Contact
Park Ridge, IL 60068
Cook County