JACQUELYN ANN MITRA Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178003356

License Status

INACTIVE

Business

First Name

JACQUELYN

Middle

ANN

Last Name

MITRA

Business Name

JACQUELYN ANN MITRA

Original Issue Date

06/14/2004

Effective Date

04/01/2007

Expiration Date

03/31/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/06/2009