LYLAH M FAHEL Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010365

License Status

NOT RENEWED

Business

First Name

LYLAH

Middle

Last Name

FAHEL

Business Name

LYLAH M FAHEL

Original Issue Date

01/06/2003

Effective Date

05/04/2005

Expiration Date

11/30/2005

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

10/28/2006