DONNA KAYE LANE Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011673

License Status

INACTIVE

Business

First Name

DONNA

Middle

KAYE

Last Name

LANE

Business Name

DONNA KAYE LANE

Original Issue Date

11/08/2005

Effective Date

02/25/2022

Expiration Date

11/30/2023

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

08/31/2023