DAVID B BUCKNAM Professional Counselor License verification

Business Entity

ACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180001583

License Status

ACTIVE

Business

First Name

DAVID B

Last Name

BUCKNAM

Business Name

DAVID B BUCKNAM

Original Issue Date

11/04/1996

Effective Date

03/10/2025

Expiration Date

03/31/2027

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

03/10/2025