MARY J HINES Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149006886

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

HINES

Business Name

MARY J HINES

Original Issue Date

02/09/1996

Effective Date

11/19/2013

Expiration Date

11/30/2015

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016