STACEY D GRAY Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178002046

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

GRAY

Business Name

STACEY D GRAY

Original Issue Date

12/05/2001

Effective Date

05/04/2005

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005