DIANNE R BLOOM Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178003236

License Status

NOT RENEWED

Business

First Name

DIANNE

Middle

Last Name

BLOOM

Business Name

DIANNE R BLOOM

Original Issue Date

06/14/2004

Effective Date

03/23/2017

Expiration Date

03/31/2019

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/18/2019