VICKI L STITES DONATH Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004041

License Status

NOT RENEWED

Business

First Name

VICKI L

Last Name

STITES DONATH

Business Name

VICKI L STITES DONATH

Original Issue Date

10/09/1991

Expiration Date

11/30/1993

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

09/02/2005