CONNIE KAY CARLSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010134

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

KAY

Last Name

CARLSON

Business Name

CONNIE KAY CARLSON

Original Issue Date

07/02/2002

Effective Date

11/30/2011

Expiration Date

11/30/2013

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

02/19/2014