DOLORES R SIEGEL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001138

License Status

NOT RENEWED

Business

First Name

DOLORES R

Last Name

SIEGEL

Business Name

DOLORES R SIEGEL

Original Issue Date

12/22/1989

Expiration Date

11/30/1999

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006