JUDITH L NICHOLS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000612

License Status

NOT RENEWED

Business

First Name

JUDITH L

Last Name

NICHOLS

Business Name

JUDITH L NICHOLS

Original Issue Date

10/07/1989

Effective Date

10/20/2015

Expiration Date

11/30/2017

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018