THERESA L HANSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149003900

License Status

NOT RENEWED

Business

First Name

THERESA L

Last Name

HANSEN

Business Name

THERESA L HANSEN

Original Issue Date

09/03/1991

Effective Date

12/02/2019

Expiration Date

02/28/2022

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022