FAYE A EDLUND Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003879

License Status

NOT RENEWED

Business

First Name

FAYE

Middle

Last Name

EDLUND

Business Name

FAYE A EDLUND

Original Issue Date

09/03/1991

Effective Date

12/02/2019

Expiration Date

02/28/2022

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022