DONALD W VACCA Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006791

License Status

NOT RENEWED

Business

First Name

DONALD W

Last Name

VACCA

Business Name

DONALD W VACCA

Original Issue Date

11/28/1995

Effective Date

12/01/2009

Expiration Date

11/30/2011

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/05/2012