BONAVENTURE L ELLIS Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002851

License Status

INACTIVE

Business

First Name

BONAVENTURE L

Last Name

ELLIS

Business Name

BONAVENTURE L ELLIS

Original Issue Date

12/14/1990

Effective Date

09/13/2013

Expiration Date

11/30/2015

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/04/2015