STACEY D GRAY Professional Counselor License verification

Business Entity

ACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180005406

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

GRAY

Business Name

STACEY D GRAY

Original Issue Date

06/14/2004

Effective Date

03/17/2025

Expiration Date

03/31/2027

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/17/2025