CONNIE L CLARK Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178003469

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

CLARK

Business Name

CONNIE L CLARK

Original Issue Date

12/10/2004

Effective Date

03/12/2009

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/05/2011