C PATRICIA CARROLL Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000449

License Status

INACTIVE

Business

First Name

C PATRICIA

Last Name

CARROLL

Business Name

C PATRICIA CARROLL

Original Issue Date

10/07/1989

Effective Date

12/08/2003

Expiration Date

11/30/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005