IAN V PROVO - Social Worker License in Illinois | # 150005052

IAN V PROVO

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150005052

License Status

NOT RENEWED

Business

N

First Name

IAN V

Last Name

PROVO

Business Name

IAN V PROVO

Original Issue Date

06/09/1993

Expiration Date

11/30/1995

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

12/16/2005