MARY C ANDERSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002348

License Status

NOT RENEWED

Business

First Name

MARY C

Last Name

ANDERSON

Business Name

MARY C ANDERSON

Original Issue Date

08/10/1990

Effective Date

11/12/2013

Expiration Date

11/30/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016