MICHAEL R GOLDBERG Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180003519

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

GOLDBERG

Business Name

MICHAEL R GOLDBERG

Original Issue Date

06/17/1999

Effective Date

03/19/2019

Expiration Date

03/31/2021

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/10/2021