CONNIE J BAKER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002129

License Status

NOT RENEWED

Business

First Name

CONNIE J

Last Name

BAKER

Business Name

CONNIE J BAKER

Original Issue Date

07/31/1990

Effective Date

11/26/2019

Expiration Date

02/28/2022

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022