SALLY N BRIDGES Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012039

License Status

INACTIVE

Business

First Name

SALLY

Middle

Last Name

BRIDGES

Business Name

SALLY N BRIDGES

Original Issue Date

07/07/2006

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/02/2009