ELISABETH PENELOPE BLOOM Professional Counselor License verification

Business Entity

INACTIVE

License Type

Professional Counselor

Description

LICENSED PROFESSIONAL COUNSELOR

License Number

178006267

License Status

INACTIVE

Business

First Name

ELISABETH

Middle

PENELOPE

Last Name

BLOOM

Business Name

ELISABETH PENELOPE BLOOM

Original Issue Date

09/10/2009

Effective Date

01/18/2011

Expiration Date

03/31/2013

City

NEW YORK

State

Zip

10003

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/03/2013