NELLY RYAN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000212

License Status

INACTIVE

Business

First Name

NELLY

Last Name

RYAN

Business Name

NELLY RYAN

Original Issue Date

10/07/1989

Effective Date

11/05/2003

Expiration Date

11/30/2003

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005