SALLY RAE SCHULTZ Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010167

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

RAE

Last Name

SCHULTZ

Business Name

SALLY RAE SCHULTZ

Original Issue Date

08/07/2002

Effective Date

01/14/2004

Expiration Date

11/30/2003

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006