M EILEEN WILSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002744

License Status

INACTIVE

Business

First Name

M EILEEN

Last Name

WILSON

Business Name

M EILEEN WILSON

Original Issue Date

12/14/1990

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007