NANCY L PETERSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000485

License Status

NOT RENEWED

Business

First Name

NANCY L

Last Name

PETERSEN

Business Name

NANCY L PETERSEN

Original Issue Date

10/07/1989

Effective Date

12/01/2015

Expiration Date

11/30/2017

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018