MARK S HOOTMAN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003681

License Status

INACTIVE

Business

First Name

MARK S

Last Name

HOOTMAN

Business Name

MARK S HOOTMAN

Original Issue Date

09/03/1991

Effective Date

09/16/2019

Expiration Date

02/28/2022

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/13/2022