Arizona
Board of Licensing
Lyle Forth
Substance Abuse - Licensed Associate Substance Abuse Counselor
License number
LASAC-13002
Date granted
10/01/2004
Date expires
09/30/2014
Class
Substance Abuse - Licensed Associate Substance Abuse Counselor
Status
Expired
Address
COPE Community Services Inc., 82 S Stone, Tucson AZ 85701
arizonalicensing.com
ID 19619359
LAST UPDATED 2024-03-15 06:29:22 UTC
LAST UPDATED 2024-03-15 06:29:22 UTC