BETH L EVANS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006346

License Status

NOT RENEWED

Business

First Name

BETH L

Last Name

EVANS

Business Name

BETH L EVANS

Original Issue Date

02/09/1995

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008