MARSHA K LONG Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003228

License Status

NOT RENEWED

Business

First Name

MARSHA K

Last Name

LONG

Business Name

MARSHA K LONG

Original Issue Date

03/09/1991

Effective Date

10/28/2013

Expiration Date

11/30/2015

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016