MARY ANN WILDWOOD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005571

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

WILDWOOD

Business Name

MARY ANN WILDWOOD

Original Issue Date

09/18/1993

Effective Date

02/15/2022

Expiration Date

11/30/2023

City

MAKANDA

State

Zip

62958

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024