MARILYN I ERICSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149000727

License Status

NOT RENEWED

Business

First Name

MARILYN I

Last Name

ERICSON

Business Name

MARILYN I ERICSON

Original Issue Date

10/07/1989

Effective Date

10/17/2003

Expiration Date

11/30/2005

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006