ANDREA RAE GILBERTSON Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010650

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

RAE

Last Name

GILBERTSON

Business Name

ANDREA RAE GILBERTSON

Original Issue Date

09/30/2003

Effective Date

11/16/2015

Expiration Date

11/30/2017

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/04/2018

Case Number

2017000379

Action

Suspension

Discipline Start Date

03/24/2017

Discipline End Date

06/19/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 06/20/2018.