ROBERT E RANDALL Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149002900

License Status

INACTIVE

Business

First Name

ROBERT E

Last Name

RANDALL

Business Name

ROBERT E RANDALL

Original Issue Date

12/18/1990

Effective Date

11/05/2003

Expiration Date

11/30/2003

City

SRRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005