HAROLD D ELLER Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009575

License Status

NOT RENEWED

Business

First Name

HAROLD

Middle

Last Name

ELLER

Business Name

HAROLD D ELLER

Original Issue Date

04/19/2001

Effective Date

09/10/2019

Expiration Date

02/28/2022

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022