CHARLES W FISHER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003480

License Status

INACTIVE

Business

First Name

CHARLES W

Last Name

FISHER

Business Name

CHARLES W FISHER

Original Issue Date

04/09/1991

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007