SHIRLEY E WILD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008894

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

Last Name

WILD

Business Name

SHIRLEY E WILD

Original Issue Date

11/12/1999

Effective Date

09/30/2023

Expiration Date

11/30/2025

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/05/2026