CARL D HOLLAND Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005322

License Status

INACTIVE

Business

First Name

CARL D

Last Name

HOLLAND

Business Name

CARL D HOLLAND

Original Issue Date

03/24/1993

Effective Date

09/24/2009

Expiration Date

11/30/2011

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011