LOIS B SHANE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001018

License Status

NOT RENEWED

Business

First Name

LOIS B

Last Name

SHANE

Business Name

LOIS B SHANE

Original Issue Date

12/22/1989

Effective Date

11/30/2009

Expiration Date

11/30/2011

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012