THOMAS ALBERT GOOSSENS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008315

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

ALBERT

Last Name

GOOSSENS

Business Name

THOMAS ALBERT GOOSSENS

Original Issue Date

09/21/1998

Effective Date

11/17/2017

Expiration Date

11/30/2019

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/23/2020