MARSHA D LEWIS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003819

License Status

NOT RENEWED

Business

First Name

MARSHA D

Last Name

LEWIS

Business Name

MARSHA D LEWIS

Original Issue Date

09/03/1991

Effective Date

11/25/2003

Expiration Date

11/30/2005

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006