EILEEN M HANSEN Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010503

License Status

NOT RENEWED

Business

First Name

EILEEN

Middle

Last Name

HANSEN

Business Name

EILEEN M HANSEN

Original Issue Date

05/27/2003

Effective Date

10/31/2019

Expiration Date

02/28/2022

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

07/27/2022