STACY J DEXTER Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149010833

License Status

INACTIVE

Business

First Name

STACY

Middle

Last Name

DEXTER

Business Name

STACY J DEXTER

Original Issue Date

03/01/2004

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/02/2009