WANDA JEAN HOLLOWAY Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010125

License Status

INACTIVE

Business

First Name

WANDA

Middle

JEAN

Last Name

HOLLOWAY

Business Name

WANDA JEAN HOLLOWAY

Original Issue Date

06/19/2002

Effective Date

11/09/2015

Expiration Date

11/30/2017

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2017