JACQUELYN ANN MITRA Professional Counselor License verification

Business Entity

ACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180006966

License Status

ACTIVE

Business

First Name

JACQUELYN

Middle

ANN

Last Name

MITRA

Business Name

JACQUELYN ANN MITRA

Original Issue Date

08/04/2008

Effective Date

03/31/2025

Expiration Date

03/31/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/31/2025