GREGORY K INGRAHAM Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001093

License Status

NOT RENEWED

Business

First Name

GREGORY K

Last Name

INGRAHAM

Business Name

GREGORY K INGRAHAM

Original Issue Date

12/22/1989

Effective Date

10/05/2017

Expiration Date

11/30/2019

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020