BRIAN A ALLEN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149004892

License Status

INACTIVE

Business

First Name

BRIAN

Middle

Last Name

ALLEN

Business Name

BRIAN A ALLEN

Original Issue Date

08/03/1992

Effective Date

11/09/2015

Expiration Date

11/30/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2017