ELIZA L DICKERSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010626

License Status

INACTIVE

Business

First Name

ELIZA

Middle

Last Name

DICKERSON

Business Name

ELIZA L DICKERSON

Original Issue Date

08/26/2003

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

PEORIA

State

Zip

61604

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007