GENE A BRODLAND Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002608

License Status

NOT RENEWED

Business

First Name

GENE

Middle

Last Name

BRODLAND

Business Name

GENE A BRODLAND

Original Issue Date

12/14/1990

Effective Date

11/12/2019

Expiration Date

02/28/2022

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022