SAMANTHA ANN BOOMGARDEN Professional Counselor License verification

Business Entity

ACTIVE

License Type

Professional Counselor

Description

LICENSED CLINICAL PROFESSIONAL COUNSELOR

License Number

180016280

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

ANN

Last Name

BOOMGARDEN

Business Name

SAMANTHA ANN BOOMGARDEN

Original Issue Date

07/19/2024

Effective Date

02/12/2025

Expiration Date

03/31/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/12/2025