JOHN C SAMPLE Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178000118

License Status

NOT RENEWED

Business

First Name

JOHN C

Last Name

SAMPLE

Business Name

JOHN C SAMPLE

Original Issue Date

02/28/1995

Expiration Date

03/31/1999

City

PORT BYRON

State

Zip

61275

Ever Disciplined

LastModifiedDate

09/05/2005

Case Number

1998001512

Action

Suspension

Discipline Start Date

10/11/2001

Discipline End Date

11/10/2001

Discipline Reason

Engaged in deliberate and inappropriate physical conduct with a female patient.