JOHN C SAMPLE Professional Counselor License verification

Business Entity

ACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180002405

License Status

ACTIVE

Business

First Name

JOHN C

Last Name

SAMPLE

Business Name

JOHN C SAMPLE

Original Issue Date

12/19/1997

Effective Date

01/07/2025

Expiration Date

03/31/2027

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/07/2025

Case Number

1998001512

Action

Suspension

Discipline Start Date

10/11/2001

Discipline End Date

11/10/2001

Discipline Reason

Engaged in deliberate and inappropriate physical conduct with a female patient.