HAROLD L VANDERVELDE Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009032

License Status

NOT RENEWED

Business

First Name

HAROLD

Middle

Last Name

VANDERVELDE

Business Name

HAROLD L VANDERVELDE

Original Issue Date

02/24/2000

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010