CAROL S NOVAK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001724

License Status

NOT RENEWED

Business

First Name

CAROL S

Last Name

NOVAK

Business Name

CAROL S NOVAK

Original Issue Date

04/28/1990

Effective Date

10/02/2015

Expiration Date

11/30/2017

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018