MARCIA L SHAW Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001593

License Status

NOT RENEWED

Business

First Name

MARCIA L

Last Name

SHAW

Business Name

MARCIA L SHAW

Original Issue Date

04/28/1990

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010