STACEY MARIE WALLACE - Social Worker License in Illinois | # 150007802

STACEY MARIE WALLACE

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150007802

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

MARIE

Last Name

WALLACE

Business Name

STACEY MARIE WALLACE

Original Issue Date

07/19/1999

Effective Date

01/10/2002

Expiration Date

11/30/2001

State

IL

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

10/28/2006