EILEEN DUNN HUMPHREY Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009248

License Status

INACTIVE

Business

First Name

EILEEN

Middle

DUNN

Last Name

HUMPHREY

Business Name

EILEEN DUNN HUMPHREY

Original Issue Date

08/02/2000

Effective Date

11/23/2009

Expiration Date

11/30/2011

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011