JANICE R GOLTZ-GAMBACH Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005191

License Status

INACTIVE

Business

First Name

JANICE

Middle

Last Name

GOLTZ-GAMBACH

Business Name

JANICE R GOLTZ-GAMBACH

Original Issue Date

12/08/1992

Effective Date

12/20/2021

Expiration Date

11/30/2023

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/13/2023