DONALD W HART Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000608

License Status

NOT RENEWED

Business

First Name

DONALD W

Last Name

HART

Business Name

DONALD W HART

Original Issue Date

10/07/1989

Effective Date

10/29/2003

Expiration Date

11/30/2005

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006