ANN M PETTY Social Worker License verification

Business Entity

ACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009048

License Status

ACTIVE

Business

First Name

ANN

Middle

Last Name

PETTY

Business Name

ANN M PETTY

Original Issue Date

03/03/2000

Effective Date

10/17/2025

Expiration Date

11/30/2027

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/17/2025