ALLYSON D SANBORN Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010729

License Status

INACTIVE

Business

First Name

ALLYSON

Middle

Last Name

SANBORN

Business Name

ALLYSON D SANBORN

Original Issue Date

11/21/2003

Effective Date

12/01/2005

Expiration Date

11/30/2007

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/05/2007