RICHARD E PONZER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002463

License Status

NOT RENEWED

Business

First Name

RICHARD E

Last Name

PONZER

Business Name

RICHARD E PONZER

Original Issue Date

08/31/1990

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

GALVA

State

Zip

61434

County

HENRY

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006