CYNTHIA G WILSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149005928

License Status

NOT RENEWED

Business

First Name

CYNTHIA G

Last Name

WILSON

Business Name

CYNTHIA G WILSON

Original Issue Date

04/26/1994

Effective Date

07/12/2005

Expiration Date

11/30/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

12/16/2005

Case Number

2004007523

Action

Suspension

Discipline Start Date

07/12/2005