FRED T NIRDE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003223

License Status

NOT RENEWED

Business

First Name

FRED T

Last Name

NIRDE

Business Name

FRED T NIRDE

Original Issue Date

03/09/1991

Effective Date

09/05/2013

Expiration Date

11/30/2015

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016