BRUCE A PERSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149007548

License Status

NOT RENEWED

Business

First Name

BRUCE A

Last Name

PERSON

Business Name

BRUCE A PERSON

Original Issue Date

03/31/1997

Effective Date

12/16/2021

Expiration Date

11/30/2023

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/28/2024