EDMUND L DECKER III Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010773

License Status

INACTIVE

Business

First Name

EDMUND

Middle

Last Name

DECKER

Suffix

III

Business Name

EDMUND L DECKER III

Original Issue Date

01/05/2004

Effective Date

11/16/2009

Expiration Date

11/30/2011

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2011