PETER N ERICKSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001270

License Status

INACTIVE

Business

First Name

PETER N

Last Name

ERICKSON

Business Name

PETER N ERICKSON

Original Issue Date

12/28/1989

Effective Date

11/30/2021

Expiration Date

11/30/2023

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/01/2023