AMY GIBB CLARK Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008740

License Status

NOT RENEWED

Business

First Name

AMY

Middle

GIBB

Last Name

CLARK

Business Name

AMY GIBB CLARK

Original Issue Date

07/23/1999

Effective Date

11/05/2015

Expiration Date

11/30/2017

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018