ANN N STOUT Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009691

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

STOUT

Business Name

ANN N STOUT

Original Issue Date

08/07/2001

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2008