AMIE C EIPERS-PONZIO Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001109

License Status

INACTIVE

Business

First Name

AMIE

Middle

Last Name

EIPERS-PONZIO

Business Name

AMIE C EIPERS-PONZIO

Original Issue Date

12/22/1989

Effective Date

11/30/2011

Expiration Date

11/30/2013

City

NAPERVILLE

State

Zip

60564

County

WILL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2013