JEREMY W BLOOMFIELD Professional Counselor License verification

Business Entity

NOT RENEWED

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180003763

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

Last Name

BLOOMFIELD

Business Name

JEREMY W BLOOMFIELD

Original Issue Date

06/28/2000

Effective Date

05/04/2005

Expiration Date

03/31/2005

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005