LYDA L SHAMBLIN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149001896

License Status

INACTIVE

Business

First Name

LYDA L

Last Name

SHAMBLIN

Business Name

LYDA L SHAMBLIN

Original Issue Date

05/05/1990

Effective Date

10/29/2015

Expiration Date

11/30/2017

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2017