LEONARD C PINK Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001589

License Status

INACTIVE

Business

First Name

LEONARD C

Last Name

PINK

Business Name

LEONARD C PINK

Original Issue Date

04/28/1990

Effective Date

10/24/2011

Expiration Date

11/30/2013

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2013