TARA EARLS LARRISON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010458

License Status

NOT RENEWED

Business

First Name

TARA

Middle

EARLS

Last Name

LARRISON

Business Name

TARA EARLS LARRISON

Original Issue Date

04/02/2003

Effective Date

09/05/2013

Expiration Date

11/30/2015

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016