DIANA L WALL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009947

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

WALL

Business Name

DIANA L WALL

Original Issue Date

02/02/2002

Effective Date

11/13/2013

Expiration Date

11/30/2015

City

NEW BADEN

State

Zip

62265

County

CLINTON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016