THOMAS R EISFELDER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004096

License Status

NOT RENEWED

Business

First Name

THOMAS R

Last Name

EISFELDER

Business Name

THOMAS R EISFELDER

Original Issue Date

11/13/1991

Effective Date

12/10/2009

Expiration Date

11/30/2011

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012

Case Number

1996005988

Action

Probation

Discipline Start Date

01/21/1997

Discipline End Date

01/20/1999

Discipline Reason

Failed to submit sufficient proof of required continuing education hours during a Department audit.