NANCY JEAN NICHOLS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149008902

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

JEAN

Last Name

NICHOLS

Business Name

NANCY JEAN NICHOLS

Original Issue Date

11/22/1999

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010