ROSE M HAVENS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006617

License Status

NOT RENEWED

Business

First Name

ROSE M

Last Name

HAVENS

Business Name

ROSE M HAVENS

Original Issue Date

08/17/1995

Effective Date

11/22/2023

Expiration Date

11/30/2025

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026