CAROL L COSTELLO Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000110

License Status

NOT RENEWED

Business

First Name

CAROL L

Last Name

COSTELLO

Business Name

CAROL L COSTELLO

Original Issue Date

09/30/1989

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010