DIANA KAY ANDERSON Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149012844

License Status

INACTIVE

Business

First Name

DIANA

Middle

KAY

Last Name

ANDERSON

Business Name

DIANA KAY ANDERSON

Original Issue Date

12/27/2007

Effective Date

10/23/2015

Expiration Date

11/30/2017

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/07/2017