License holder summary

Sample, Jerry W is a Clinical Substance Abuse Counselor licensed to practice in Wisconsin. This licensed professional license is current. The license was granted 06/17/2004 and expired on 02/28/2015.

Wisconsin

Department of Safety and Professional Services

Sample, Jerry W
Clinical Substance Abuse Counselor
License number
11750-132
Date granted
06/17/2004
Date expires
02/28/2015
Class
Clinical Substance Abuse Counselor
Status
Active
wisconsinlicensing.org
ID 13544355
LAST UPDATED 2026-07-10 08:00:15 UTC

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