DIANE D PODOLAK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000310

License Status

NOT RENEWED

Business

First Name

DIANE D

Last Name

PODOLAK

Business Name

DIANE D PODOLAK

Original Issue Date

10/07/1989

Effective Date

11/12/2015

Expiration Date

11/30/2017

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018