ROBERTA K BELLARD Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149011746

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

Last Name

BELLARD

Business Name

ROBERTA K BELLARD

Original Issue Date

01/17/2006

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/07/2010