PAULETTE A BROCK Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002595

License Status

ACTIVE

Business

First Name

PAULETTE A

Last Name

BROCK

Business Name

PAULETTE A BROCK

Original Issue Date

12/05/1990

Effective Date

12/02/2025

Expiration Date

11/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/02/2025